| Dr Jai P Udassi, MD | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-7770 | |
| (352) 392-0547 |
| Full Name | Dr Jai P Udassi |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 33 Years |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538188776 | NPI | - | NPPES |
| 272173200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME88675 (Florida) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | ME88675 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jai P Udassi, MD Po Box 918025, Orlando, FL 32891-8025 Ph: (352) 273-7770 | Dr Jai P Udassi, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-7770 |
Dr. Bahareh Ebadifar Keith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-0462 Fax: 352-273-6250 | |
Jose Maria Cardenas Fimbres, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610 Phone: 915-803-1159 | |
Stephen Smyth Beebe, MD FACP Pediatrics Medicare: Medicare Enrolled Practice Location: 6440 W Newberry Rd, #402, Gainesville, FL 32605 Phone: 352-333-5500 Fax: 352-333-5506 | |
Kristin Alexandra Dayton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9001 | |
Neel Kamal Singh, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9011 | |
Donald J Fillipps, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0451 Fax: 352-392-9802 | |
Sarah Tatum Ritchie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32601 Phone: 352-273-5400 Fax: 352-273-5260 |