Jayanth Bolaram


Address: 198 1st St S, Winter Haven, FL 33880-3004

Jayanth Bolaram (NPI# 1336251016, PAC ID# 1254325095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1336251016
PAC ID by PECOS 1254325095
Professional Enrollment ID I20090226000537
Full Name Jayanth Bolaram
Address 198 1st St S
Winter Haven
FL 33880-3004
Gender M
Credential MD
Graduation Year 1994
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100052 WINTER HAVEN HOSPITAL
100109 FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER

Other Locations

Address Phone Organization
6600 Madison St, New Port Richey, FL 34652-1971 7275321355 BAYCARE BEHAVIORAL HEALTH ASSOCIATES, LLC
198 1st St S, Winter Haven, FL 33880-3004

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 100%
MIPS_EC_155_overall Falls: Plan of Care 100%
MIPS_EC_181_overall Elder Maltreatment Screen and Follow-Up Plan 100%

Organization Information

Office Location

Street Address 198 1ST ST S
City WINTER HAVEN
State FL
Zip 33880-3004

Physicians in the same zip code

Name Specialty Organization Address
Allan C Honculada Pain Management 537 Central Ave E, Suite B, Winter Haven, FL 33880
Michael G Ort Ophthalmology Bond Clinic Pa 506 Ave A Se, Winter Haven, FL 33880-3031
Maria I Martino Villanueva Obstetrics/gynecology Gessler Clinic Professional Association 450 E Central Ave, Winter Haven, FL 33880-3050
Kevin L Henne Optometry Family Eyecare of Winter Haven Pllc 410 E Central Ave, Winter Haven, FL 33880-3050
Jose Martinez-salas Pulmonary Disease Gessler Clinic Professional Association 440 Central Ave E, Winter Haven, FL 33880-3050
Lisa Jardine Obstetrics/gynecology Gessler Clinic Professional Association 440 Central Ave E, Winter Haven, FL 33880-3050
Allison M Schneider Optometry Family Eyecare of Winter Haven Pllc 410 E Central Ave, Winter Haven, FL 33880-3050
Kimberly J Jensen Nurse Practitioner Florida Woman Care LLC 427 E Central Ave, Winter Haven, FL 33880-3051
Marc Feldman Podiatry Bond Clinic Pa 401 E Central Ave, Winter Haven, FL 33880-3051
Rebecca Marie Milburn Certified Nurse Midwife (cnm) Florida Woman Care LLC 427 E Central Ave, Winter Haven, FL 33880-3051
Find all physicians in zip 33880

Competitor

Search similar physicians

City WINTER HAVEN
Zip Code 33880
Specialty PSYCHIATRY
City + Specialty WINTER HAVEN + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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