| Jaya M Therattil, MD | |
|
3630 J Dewey Gray Cir, Augusta, GA 30909-1867 | |
| (706) 855-6130 | |
| (706) 855-6139 |
| Full Name | Jaya M Therattil |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 37 Years |
| Location | 3630 J Dewey Gray Cir, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043285810 | NPI | - | NPPES |
| 000893802B | Medicaid | GA | |
| 000893802D | Medicaid | GA | |
| G48731 | Medicaid | SC | |
| 000893802C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 048731 (Georgia) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 048731 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neighborhood Improvement Project, Inc | 7315851078 | 57 |
| Entity Name | Neighborhood Improvement Project, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700900867 PECOS PAC ID: 7315851078 Enrollment ID: O20031117000665 |
| Entity Name | Pulmonary Allergy & Sleep Center Of Augusta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871887513 PECOS PAC ID: 5991974529 Enrollment ID: O20110816000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaya M Therattil, MD 3630 J Dewey Gray Cir, Augusta, GA 30909-1867 Ph: (706) 855-6130 | Jaya M Therattil, MD 3630 J Dewey Gray Cir, Augusta, GA 30909-1867 Ph: (706) 855-6130 |
Kathleen Ruffing May, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Bg 1019, Augusta, GA 30912 Phone: 706-721-4919 | |
William Hainsworth Tredwell, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1459 Laney Walker Blvd, Augusta, GA 30912 Phone: 757-668-7249 | |
Dr. Michael Carver Belcon, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-1450 Fax: 706-721-1402 | |
Mrs. Tesneem Kauser Chaudhary, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3685 Wheeler Rd, Suite 101, Augusta, GA 30909 Phone: 706-868-8555 Fax: 706-868-8022 | |
Dr. Richard Alan Bickel Jr., M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Bg 1021, Augusta, GA 30912 Phone: 706-721-3531 Fax: 706-721-2527 | |
Heather Raborn, NP-C Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1348 Walton Way Ste 5100, Augusta, GA 30901 Phone: 706-724-8611 Fax: 706-724-6202 | |
Robert B Rhoades, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1219 W Wheeler Pkwy, Augusta, GA 30909 Phone: 706-855-1520 |