| Dr Shiva Lakshmin, MD | |
|
3625 University Blvd S, Emergency Department, Jacksonville, FL 32216-4207 | |
| (904) 346-3606 | |
| (904) 346-0113 |
| Full Name | Dr Shiva Lakshmin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 3625 University Blvd S, Jacksonville, 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 |
|---|---|---|---|
| 1851379184 | NPI | - | NPPES |
| 29197 | Other | FL | BCBS |
| P00252893 | Other | FL | RRMCR |
| 05108548 | Medicaid | MS | |
| 1594881 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0093772 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patients First Lake Ella Medical Center P A | 4082760566 | 19 |
| Entity Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115948 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Patients First Lake Ella Medical Center P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164524039 PECOS PAC ID: 4082760566 Enrollment ID: O20090924000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shiva Lakshmin, MD Po Box 860554, Orlando, FL 32886-0554 Ph: (904) 346-3606 | Dr Shiva Lakshmin, MD 3625 University Blvd S, Emergency Department, Jacksonville, FL 32216-4207 Ph: (904) 346-3606 |
Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578 | |
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5011 Gate Pkwy Bldg 100, Jacksonville, FL 32256 Phone: 904-523-3351 Fax: 904-523-3340 | |
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871 | |
Timothy Davlantes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791 | |
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952 | |
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |