7614 JACQUE RD STE B
HUDSON, FL 34667-7195 US PECOS Enrolled
Overview
Tiyyagura S Reddy is a Gastroenterologist in the HUDSON area. Tiyyagura S Reddy primary office location is at 7614 JACQUE RD STE B and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205848595 and the information was updated approximately 7 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| ME40196 | FL |
| Type/Issuer | Identifier | State |
|---|---|---|
| RAILROAD MEDICARE | 110012967 | - |
| AVMED | 211156 | FL |
| WELLCARE | 167251 | FL |
| BLUE CROS BLUE SHIELD | 51256 | FL |
| MEDICAID | 042172300 | FL |
| Taxonomy | State | Primary? |
|---|---|---|
| Gastroenterologist - Taxonomy Code 207RG0100X | FL | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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