Jacqueline M Kraveka

DO | Pediatric Hematology-Oncology | Female

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Complete Profile:

Jacqueline M Kraveka basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Jacqueline M Kraveka
Credential :	DO
Gender :	Female

Business Address:

Jacqueline M Kraveka address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	171 Ashley Ave Charleston, SC, 29425-0001 United States
Phone Number :	843-792-1414

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1033227996
NPI Entity Type :	Individual
First Enrolment Date :	29 Aug, 2006
Last Updated On :	14 Oct, 2020

Medicare Participation:

Jacqueline M Kraveka participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7810078813
Medicare Enrollment ID :	I20080116000189
Primary Specialty :	Pediatric Medicine
Medical School :	Nova Southeastern College Of Osteo Medicine
Graduation Year :	1994
Accepts Medicare?	Yes. Jacqueline M Kraveka accepts medicare insurance.

Group Practice Association:

Jacqueline M Kraveka is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jacqueline M Kraveka is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Medical Associates	6305758574	1198	171 Ashley Ave Charleston, SC - 294258908 Ph: 8437921414	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline M Kraveka are as mentioned. Primary taxonomy code for Jacqueline M Kraveka, DO is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	471	SC

Legacy Identifiers:

Other legacy medical identifiers of Jacqueline M Kraveka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
004710	MEDICAID	SC

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 751461 Charlotte, NC, 28275-1461 United States
Phone Number :	843-792-6200

Business Location:

Patients can refer following map for directions to Jacqueline M Kraveka practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.