| Durba Mishra, MD | |
|
1273 S Peachtree St, Jasper, TX 75951-4915 | |
| (409) 384-9200 | |
| (409) 384-9205 |
| Full Name | Durba Mishra |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 1273 S Peachtree St, Jasper, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588673008 | NPI | - | NPPES |
| 031495701 | Medicaid | TX | |
| 031495705 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L0429 (Texas) | Primary |
| 207QA0000X | Family Medicine - Adolescent Medicine | L0429 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advantage Plus Homecare | Jasper, TX | Home health agency |
| Consolidated First Choice Home Health Inc | Lufkin, TX | Home health agency |
| Jordan Health Services | Jasper, TX | Home health agency |
| Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Texas Family Healthcare Pllc | 2961310610 | 7 |
| Entity Name | Kalyan K Rath |
|---|---|
| Entity Type | Practitioner - Pediatric Medicine |
| Entity Identifiers | NPI Number: 1639188147 PECOS PAC ID: 6406764158 Enrollment ID: I20110809000073 |
| Entity Name | East Texas Family Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770754335 PECOS PAC ID: 2961310610 Enrollment ID: O20051207000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Durba Mishra, MD 1273 S Peachtree St, Jasper, TX 75951-4915 Ph: (409) 384-9200 | Durba Mishra, MD 1273 S Peachtree St, Jasper, TX 75951-4915 Ph: (409) 384-9200 |
Saurabh Singh, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 300 Marvin Hancock Dr, Jasper, TX 75951 Phone: 409-383-1355 Fax: 409-384-7278 |