| Dr Bacharanianda Chengappa Muthappa, MD, FRCS | |
|
120 Farm Road 2825, Clarksville, TX 75426-3348 | |
| (903) 427-2201 | |
| (903) 427-3204 |
| Full Name | Dr Bacharanianda Chengappa Muthappa |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 59 Years |
| Location | 120 Farm Road 2825, Clarksville, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396835427 | NPI | - | NPPES |
| 000000BN34 | Other | TX | BCBS PROVIDER NUMBER |
| 1225203-04 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F0268 (Texas) | Primary |
| 208600000X | Surgery | F0268 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Country Home Care | Clarksville, TX | Home health agency |
| Chambers Home Health Agency Of Northeast Texas Com | Mount pleasant, TX | Home health agency |
| Cypress Home Care | Paris, TX | Home health agency |
| Paris Regional Medical Center | Paris, TX | Hospital |
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Clarksville Nursing Center | Clarksville, TX | Nursing home |
| Focused Care At Clarksville | Clarksville, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bacharanianda Llc | 2567825953 | 2 |
| B. C. Muthappa, M.d., P.a. | 2961689500 | 3 |
| Entity Name | B. C. Muthappa, M.d., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134205107 PECOS PAC ID: 2961689500 Enrollment ID: O20110607000558 |
| Entity Name | Bacharanianda Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942935663 PECOS PAC ID: 2567825953 Enrollment ID: O20230901000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bacharanianda Chengappa Muthappa, MD, FRCS 120 Farm Road 2825, P O Box 1429, Clarksville, TX 75426-3348 Ph: (903) 427-2201 | Dr Bacharanianda Chengappa Muthappa, MD, FRCS 120 Farm Road 2825, Clarksville, TX 75426-3348 Ph: (903) 427-2201 |