| Tiyyagura S Reddy, | |
|
7614 Jacque Rd Ste B, Hudson, FL 34667-7195 | |
| (727) 863-2105 | |
| (727) 862-2512 |
| Full Name | Tiyyagura S Reddy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 7614 Jacque Rd Ste B, Hudson, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205848595 | NPI | - | NPPES |
| 110012967 | Other | RAILROAD MEDICARE | |
| 211156 | Other | FL | AVMED |
| 167251 | Other | FL | WELLCARE |
| 51256 | Other | FL | BLUE CROS BLUE SHIELD |
| 042172300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME40196 (Florida) | Primary |
| Entity Name | Advanced Gastroenterology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619200482 PECOS PAC ID: 6608917315 Enrollment ID: O20100104000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiyyagura S Reddy, 2410 Northside Dr, Clearwater, FL 33761-2236 Ph: (727) 499-0358 | Tiyyagura S Reddy, 7614 Jacque Rd Ste B, Hudson, FL 34667-7195 Ph: (727) 863-2105 |
Dr. Deborah Saepharn, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2966 | |
Ramya Pinnamaneni, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 14100 Fivay Rd Ste 380, Hudson, FL 34667 Phone: 727-868-9208 Fax: 727-868-6420 | |
Dr. Domenick J Sorresso, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7614 Jacque Rd Ste C, Hudson, FL 34667 Phone: 727-857-5967 Fax: 727-857-5972 | |
Dr. Anthony Maurice Salibi, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2966 Fax: 727-819-2928 | |
Austin Van Vliet, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 14000 Fivay Rd Fl 34667, Hudson, FL 34667 Phone: 727-819-2966 Fax: 727-819-2928 | |
Benjamin Kuritzky, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7651 Medical Dr, Hudson, FL 34667 Phone: 727-868-9208 Fax: 727-868-6420 | |
Dr. Luis R. Annoni-suau, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 14100 Fivay Rd, Suite 310, Hudson, FL 34667 Phone: 727-862-3202 Fax: 727-862-2182 |