| Maanasa Jetty, MD | |
|
701 E Loop 281, Longview, TX 75605-5006 | |
| (903) 315-5618 | |
| Not Available |
| Full Name | Maanasa Jetty |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 19 Years |
| Location | 701 E Loop 281, Longview, 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 |
|---|---|---|---|
| 1770817629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P2688 (Texas) | Secondary |
| 208M00000X | Hospitalist | P2688 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic Texas | 3072426741 | 1540 |
| North Texas Physician Services, Pllc | 6305295429 | 236 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | North Texas Physician Services, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Mailing Address | Practice Location Address |
|---|---|
| Maanasa Jetty, MD Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-1488 | Maanasa Jetty, MD 701 E Loop 281, Longview, TX 75605-5006 Ph: (903) 315-5618 |
Venkata Sandeep Koripalli, M.D., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-3588 |
Dr. Tejo Ramam Challa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 E Loop 281, Longview, TX 75605 Phone: 903-315-5618 Fax: 903-315-5317 |
Aatif Rashid, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 400, Longview, TX 75601 Phone: 903-315-1696 Fax: 903-315-1900 |