Jay Mahadevan Inc - Medicare Primary Care in St Louis, MO

Jay Mahadevan Inc is a medicare enrolled primary clinic (Internal Medicine) in St Louis, Missouri. The current practice location for Jay Mahadevan Inc is 3535 S Jefferson Ave, Suite 304, St Louis, Missouri. For appointments, you can reach them via phone at (314) 865-6585. The mailing address for Jay Mahadevan Inc is Po Box 775578, St Louis, Missouri and phone number is (314) 865-6582.

Jay Mahadevan Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386747715. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (314) 865-6585.

Contact Information

Jay Mahadevan Inc
3535 S Jefferson Ave
Suite 304
St Louis
MO 63118
(314) 865-6585
(314) 865-6599

Primary Care Clinic Profile

Full NameJay Mahadevan Inc
SpecialityInternal Medicine
Location3535 S Jefferson Ave, St Louis, Missouri
Authorized Official Name and PositionJay Mahadevan (PRESIDENT)
Authorized Official Contact3148656582
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jay Mahadevan Inc
Po Box 775578
St Louis
MO 63177-5578

Ph: (314) 865-6582
Jay Mahadevan Inc
3535 S Jefferson Ave
Suite 304
St Louis
MO 63118

Ph: (314) 865-6585

NPI Details:

NPI Number1386747715
Provider Enumeration Date09/07/2006
Last Update Date08/05/2010

Medicare PECOS Information:

Medicare PECOS PAC ID8224153804
Medicare Enrollment IDO20100920000735

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Medical Identifiers

Medical identifiers for Jay Mahadevan Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386747715NPI-NPPES
0400415OtherMOUHC
100656OtherMOBLUE SHIELD
201582608MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jay Mahadevan Inc acts as a billing entity for following providers:
Provider NameJambunathan Mahadevan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669588638
PECOS PAC ID: 1456476043
Enrollment ID: I20100920000972

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