| Dr Jitendra S Desai, MD | |
|
16 Walnut Ave Sw, Roanoke, VA 24016-4719 | |
| (540) 345-6468 | |
| (540) 345-3204 |
| Full Name | Dr Jitendra S Desai |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 53 Years |
| Location | 16 Walnut Ave Sw, Roanoke, Virginia |
| 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 |
|---|---|---|---|
| 1942281019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101031752 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walnut Avenue Associates Pc | 4284736612 | 6 |
| City Of Hope Medical Group Of Illinois Pllc | 3274446596 | 109 |
| Entity Name | Walnut Avenue Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861583791 PECOS PAC ID: 4284736612 Enrollment ID: O20070302000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jitendra S Desai, MD 16 Walnut Ave Sw, Roanoke, VA 24016-4719 Ph: (540) 345-6468 | Dr Jitendra S Desai, MD 16 Walnut Ave Sw, Roanoke, VA 24016-4719 Ph: (540) 345-6468 |
Rodney James Snodgrass Deaton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 | |
Carlos Mora, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-985-9427 | |
John H Draeger, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 | |
Fahim Fahim, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3517 Brandon Ave Sw, Roanoke, VA 24018 Phone: 540-981-1102 Fax: 540-344-4169 | |
Dr. John Eric Vance, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 | |
Dr. John Gordon Burch, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4431 Starkey Rd, Roanoke, VA 24018 Phone: 540-342-0211 Fax: 540-344-5543 | |
Sooraj John, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 Fax: 540-853-0511 |