Ms Nishitha Reddy Thumallapally, MD - Medicare Hematology/oncology 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



Physician's Profile

Full NameMs Nishitha Reddy Thumallapally
GenderFemale
SpecialityHematology/oncology
Experience12 Years
Location121 Whitehall Dr, St Augustine, Florida
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1548670946NPI-NPPES
118147900MedicaidFL
6UOLEOtherFLFL BLUE
QU962OtherFLMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology ME159539 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Conway Medical CenterConway, SCHospital
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cancer Specialists Llc913337794846

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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 NameCancer Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528323268
PECOS PAC ID: 9133377948
Enrollment ID: O20120920000454

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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 AddressPractice 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

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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

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