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NPI Code Detail

MEDICARE: PRISAT PA

MEDICARE: PRISAT PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH9023FL
2103T00000XPsychologistRN9254064FL
3163WP0808XPsychiatric/Mental Health Registered NurseARNP2101032FL
4174400000XSpecialistME83139FL
5163WP0808XPsychiatric/Mental Health Registered NurseRN2580702FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11588629232OTHERFLNPI - MADKAIKER
2282634OTHERFLMAGELLAN IP - MADKAIKER
31134234669OTHERFLNPI - SICKINGER
41306867817OTHERFLNPI - FORKER
5BCBSOTHERFL06183

General Provider Information

NPI Number : 1275678799
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRISAT PA
Provider Business Mailing Address
First Line : PO BOX 24330
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32241-4330
Country : US
Telephone Number : 904-880-8840
Fax Number : 904-880-1994
Provider Business Practice Location Address
First Line : 3685 CROWN POINT COURT
Second Line : SUITE 3
City : JACKSONVILLE
State : FL
Zip : 32257-5967
Country : US
Telephone Number : 904-880-8840
Fax Number : 904-880-1994
Authorized Official
Title or Position : PSYCHIATRIST, PRESIDENT
Name : SATYEN P. MADKAIKER
Credential : M.D.
Telephone Number : 904-880-8840
Provider Enumeration Date : 02/21/2007
Last Update Date : 09/11/2025

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Directions to “PRISAT PA ” Practice Location

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