Maanasa Jetty, MD is a medicare enrolled "Hospitalist" physician in Marshall, Texas. She graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Christus Trinity Clinic, North Texas Physician Services, Pllc and her current practice location is
811 S Washington Ave, Marshall, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 315-1488.
Maanasa Jetty is licensed to practice in Texas (license number P2688) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770817629.
Physician's Profile
| Full Name | Maanasa Jetty |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 18 Years |
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| Location | 811 S Washington Ave, Marshall, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Maanasa Jetty graduated from medical school in 2007
NPI Data:
- NPI Number: 1770817629
- Provider Enumeration Date: 09/24/2009
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840454906
- Enrollment ID: I20120621000256
Medical Identifiers
Medical identifiers for Maanasa Jetty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770817629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | P2688 (Texas) | Secondary |
| 208M00000X | Hospitalist | P2688 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Christus Trinity Clinic | 3072426741 | 1246 |
| North Texas Physician Services, Pllc | 6305295429 | 215 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maanasa Jetty allows following entities to bill medicare on her behalf.
| Entity Name | Christus Trinity Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
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| Entity Name | North Texas Physician Services, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maanasa Jetty is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Maanasa Jetty, MD Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-1488 | Maanasa Jetty, MD 811 S Washington Ave, Marshall, TX 75670-5336 Ph: (903) 315-1488 |
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