Ms Nishitha Reddy Thumallapally, MD in St Augustine, FL

Ms Nishitha Reddy Thumallapally, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in St Augustine, Florida. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Hematology/oncology. She is a member of the group practice Cancer Specialists Llc and her current practice location is 121 Whitehall Dr, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 825-4500.

Ms Nishitha Reddy Thumallapally is licensed to practice in Florida (license number ME159539) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548670946.

Contact Information

	Ms Nishitha Reddy Thumallapally, MD
	121 Whitehall Dr, St Augustine, FL 32086-5266
	(904) 825-4500
	(907) 825-3672

Map and Direction

Physician's Profile

Full Name	Ms Nishitha Reddy Thumallapally
Gender	Female
Speciality	Hematology/oncology
Experience	12 Years
Location	121 Whitehall Dr, St Augustine, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Nishitha Reddy Thumallapally graduated from medical school in 2012

NPI Data:

NPI Number: 1548670946
Provider Enumeration Date: 05/07/2014
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8325384118
Enrollment ID: I20230519001627

Medical Identifiers

Medical identifiers for Ms Nishitha Reddy Thumallapally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548670946	NPI	-	NPPES
118147900	Medicaid	FL
6UOLE	Other	FL	FL BLUE
QU962	Other	FL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	ME159539 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conway Medical Center	Conway, SC	Hospital
Flagler Hospital	Saint augustine, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cancer Specialists Llc	9133377948	46

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Nishitha Reddy Thumallapally allows following entities to bill medicare on her behalf.

Entity Name	Cancer Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nishitha Reddy Thumallapally is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Nishitha Reddy Thumallapally, MD 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256-6932 Ph: (904) 363-2113	Ms Nishitha Reddy Thumallapally, MD 121 Whitehall Dr, St Augustine, FL 32086-5266 Ph: (904) 825-4500

Reviews and Comments

Internal Medicine Doctors in St Augustine, FL

Dr. Rosemarie L. Lim, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 228 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6266 Fax: 904-826-3244
Dr. David Brett Goldberg, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840
Dr. Gaurav Trikha, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 121 Whitehall Dr, St Augustine, FL 32086 Phone: 904-825-4500 Fax: 904-825-3672
Dr. Adey A A Hasan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 204 Southpark Cir E, St Augustine, FL 32086 Phone: 904-829-8300 Fax: 904-829-8310
Bernard R Borbely, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite208, St Augustine, FL 32086 Phone: 904-819-6800 Fax: 904-819-6700
Dr. Daniel J Gassert, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 216 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6108 Fax: 904-823-9613
Vivek M Manikal, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1093 A1a Beach Blvd Pmb415, St Augustine, FL 32080 Phone: 904-819-9925 Fax: 904-819-9926

Ms Nishitha Reddy Thumallapally, MD - Medicare Hematology/oncology in St Augustine, FL