| Dr Shiva Prasad Tadakal, MD | |
|
2529 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6335 | |
| (813) 920-1800 | |
| (813) 605-6139 |
| Full Name | Dr Shiva Prasad Tadakal |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 2529 Cypress Ridge Blvd, Wesley Chapel, 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 |
|---|---|---|---|
| 1568750941 | NPI | - | NPPES |
| 109864800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E8737 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | ME145559 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shiva Prasad Tadakal, MD 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 532-1355 | Dr Shiva Prasad Tadakal, MD 2529 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6335 Ph: (813) 920-1800 |
Dr. John Richard Edmiston, M .D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27454 Cashford Cir, Wesley Chapel, FL 33544 Phone: 813-973-4747 Fax: 813-973-3799 | |
Dr. Michelle Tompkins Spencer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28864 Wesley Chapel Blvd, Wesley Chapel, FL 33543 Phone: 813-998-2870 Fax: 813-998-2871 | |
Dr. Jonathan Yousef, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5801 Argerian Dr Ste 103, Wesley Chapel, FL 33545 Phone: 813-991-4991 Fax: 812-907-8942 | |
Eduardo Mora Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2700 Healing Way Ste 300, Wesley Chapel, FL 33543 Phone: 813-929-5000 | |
Mrs. Athena Lardizabal Valencia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2236 Green Hedges Way, Wesley Chapel, FL 33544 Phone: 813-999-0505 Fax: 813-701-9450 | |
Mrs. Jamie Nicole Marville, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 2726 Windguard Cir Ste 102, Wesley Chapel, FL 33544 Phone: 813-999-0505 Fax: 813-701-9450 | |
Aliya Rathore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2106 Ashey Oak Circle, Suite 102, Wesley Chapel, FL 33543 Phone: 813-994-8481 Fax: 813-994-8381 |