| Dr Jayanth Bolaram, MD | |
|
2405 9th St Ste A, Wichita Falls, TX 76301-4060 | |
| (863) 214-3230 | |
| Not Available |
| Full Name | Dr Jayanth Bolaram |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 32 Years |
| Location | 2405 9th St Ste A, Wichita Falls, Texas |
| 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 |
|---|---|---|---|
| 1336251016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME92560 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | S9660 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar Crest Clinic | 9537063409 | 7 |
| Entity Name | Cedar Crest Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710936380 PECOS PAC ID: 9537063409 Enrollment ID: O20031121000632 |
| Entity Name | United Regional Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407890775 PECOS PAC ID: 2163417478 Enrollment ID: O20040416001015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jayanth Bolaram, MD 2405 9th St Ste A, Wichita Falls, TX 76301-4060 Ph: (863) 214-3230 | Dr Jayanth Bolaram, MD 2405 9th St Ste A, Wichita Falls, TX 76301-4060 Ph: (863) 214-3230 |
Jaime C. Lim, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 Midwestern Pkwy E, Wichita Falls, TX 76302 Phone: 940-766-8482 | |
Art Glenn Smith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1000 Brook Ave, Wichita Falls, TX 76301 Phone: 940-397-3140 Fax: 940-397-3150 | |
Dr. Brian Blake Ferris, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6515 Kemp Blvd, Wichita Falls, TX 76308 Phone: 940-692-1220 | |
Dr. Cynthia A Sloan, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4327 Barnett Rd, Wichita Falls, TX 76310 Phone: 940-764-5350 Fax: 940-764-5351 | |
Dr. Vinayak Radkar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Midwestern Pkwy E, Wichita Falls, TX 76302 Phone: 940-766-3551 Fax: 940-766-8659 | |
Sara Elchehabi, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6515 Kemp Blvd, Wichita Falls, TX 76308 Phone: 940-692-1220 |