| Sivaram Rajan, MD | |
|
2100 Via Bella Blvd, Suite 102, Land O Lakes, FL 34639-5429 | |
| (813) 712-5718 | |
| (813) 355-5029 |
| Full Name | Sivaram Rajan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 2100 Via Bella Blvd, Land O Lakes, 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 |
|---|---|---|---|
| 1861783409 | NPI | - | NPPES |
| P01619562 | Other | FL | R&R MEDICARE |
| 012989700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME120853 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care Inc | Trinity, FL | Home health agency |
| Kindred At Home | Land o lakes, FL | Home health agency |
| Adventhealth Wesley Chapel | Wesley chapel, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohi West Medical Group Ii Llc | 0648631192 | 398 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Florida Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
| Entity Name | Ohi West Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130 |
| Mailing Address | Practice Location Address |
|---|---|
| Sivaram Rajan, MD 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 528-4975 | Sivaram Rajan, MD 2100 Via Bella Blvd, Suite 102, Land O Lakes, FL 34639-5429 Ph: (813) 712-5718 |
John Tedesco, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Via Bella Blvd, Ste. 204, Land O Lakes, FL 34639 Phone: 813-751-3636 Fax: 813-377-1678 | |
Mrs. Lisa Waggoner Barker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2061 Collier Pkwy, Land O Lakes, FL 34639 Phone: 727-845-5707 Fax: 813-501-8250 | |
Peggy Watson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638 Phone: 813-949-2950 Fax: 813-949-2924 | |
Mr. Cha Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7040 Land O Lakes Blvd Unit 103, Land O Lakes, FL 34638 Phone: 813-803-7907 Fax: 813-528-8960 | |
Dr. Julio Roberto Sanchez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4212 Mast Ct, Land O Lakes, FL 34639 Phone: 813-476-1646 | |
Alberto R Gutierrez Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Via Bella Blvd Ste 204, Land O Lakes, FL 34639 Phone: 813-751-3636 Fax: 813-377-1678 | |
Ashish C Patel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20735 Sterlington Dr Ste 102, Land O Lakes, FL 34638 Phone: 813-563-0751 |