| Dr Manjunath Rachoteppa Bannur, MD | |
|
707 Roland St, Spearman, TX 79081-3441 | |
| (806) 659-2535 | |
| Not Available |
| Full Name | Dr Manjunath Rachoteppa Bannur |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 707 Roland St, Spearman, 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 |
|---|---|---|---|
| 1437319308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD18885 (Maine) | Primary |
| 207P00000X | Emergency Medicine | Q2240 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Houston Healthcare Southeast | Pasadena, TX | Hospital |
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrative Emergency Services Physician Group-houston Pllc | 7113258500 | 193 |
| Entity Name | Hansford County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801045182 PECOS PAC ID: 5698723682 Enrollment ID: O20050106000356 |
| Entity Name | Texas Emergency Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811942949 PECOS PAC ID: 0345297610 Enrollment ID: O20050407001290 |
| Entity Name | Ess Of Port Lavaca Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Entity Name | Emergency Medicine Services Of Tx, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manjunath Rachoteppa Bannur, MD 716 Haney St, Spearman, TX 79081-3550 Ph: (989) 948-7719 | Dr Manjunath Rachoteppa Bannur, MD 707 Roland St, Spearman, TX 79081-3441 Ph: (806) 659-2535 |