| Krishna Kanth R Mettu, MD | |
|
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
| (573) 635-5264 | |
| (573) 761-4351 |
| Full Name | Krishna Kanth R Mettu |
|---|---|
| Gender | Male |
| Speciality | Sleep Medicine |
| Experience | 27 Years |
| Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
| 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 |
|---|---|---|---|
| 1508977257 | NPI | - | NPPES |
| 1508977257 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | T2003012955 (Missouri) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2009008002 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson City Medical Group Pc | 1850371089 | 102 |
| Entity Name | Jefferson City Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna Kanth R Mettu, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 635-5264 | Krishna Kanth R Mettu, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Elbert Stinson Tillerson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St., Jefferson City, MO 65102 Phone: 573-635-7651 Fax: 573-659-4515 | |
Dr. Colleen Teresa Loehr, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2013 Williams St, Jefferson City, MO 65109 Phone: 573-636-8108 | |
Dr. John W Clemens, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2701 W Edgewood Dr, Suite 101, Jefferson City, MO 65109 Phone: 573-634-5303 Fax: 573-761-6888 | |
Jack E Matteson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1026 Northeast Dr, Ste E, Jefferson City, MO 65109 Phone: 573-635-3850 Fax: 573-635-1558 | |
John C Lyskowski, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2701 W Edgewood Dr, Suite 101, Jefferson City, MO 65109 Phone: 573-634-5303 Fax: 573-761-6888 | |
Dr. Steven S Shipman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3000 |