| Jagadeesha N Shetty, MD | |
|
120 Irmc Dr, Suite160, Indiana, PA 15701-3674 | |
| (724) 465-2676 | |
| (724) 349-1830 |
| Full Name | Jagadeesha N Shetty |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 40 Years |
| Location | 120 Irmc Dr, Indiana, Pennsylvania |
| 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 |
|---|---|---|---|
| 1932169620 | NPI | - | NPPES |
| CI1160 | Other | PA | RAILROAD MEDICARE |
| 0016948000002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD064511L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana Regional Medical Center | Indiana, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vantage Physical Therapy And Rehabilitation Inc | 3072424886 | 185 |
| Center For Orthopaedic And Sports Medicine Pc | 5890749329 | 15 |
| Entity Name | Indiana Healthcare Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578523429 PECOS PAC ID: 5294723359 Enrollment ID: O20040927000404 |
| Entity Name | Center For Orthopaedic And Sports Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124088372 PECOS PAC ID: 5890749329 Enrollment ID: O20050308001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Jagadeesha N Shetty, MD 120 Irmc Dr, Suite160, Indiana, PA 15701-3674 Ph: (724) 465-2676 | Jagadeesha N Shetty, MD 120 Irmc Dr, Suite160, Indiana, PA 15701-3674 Ph: (724) 465-2676 |
Patrick Carone, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 129 Eastwood Ct, Indiana, PA 15701 Phone: 724-349-0980 Fax: 724-349-0979 | |
Dr. John Baber, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 120 Irmc Dr Ste 110, Indiana, PA 15701 Phone: 724-357-8135 Fax: 724-357-8138 | |
Shannon Dawn Hestor, ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 660 S 11th St, Indiana, PA 17705 Phone: 717-991-3283 |