| Preetham Jetty, MD | |
|
1210 A Medical Arts Blvd, Suite 105, Anderson, IN 46011-3437 | |
| (765) 298-4660 | |
| (765) 298-4926 |
| Full Name | Preetham Jetty |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 47 Years |
| Location | 1210 A Medical Arts Blvd, Anderson, Indiana |
| 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 |
|---|---|---|---|
| 1962469510 | NPI | - | NPPES |
| 4218217 | Other | IN | AETNA |
| 100120660 | Medicaid | IN | |
| P01214600 | Other | IN | RR MEDICARE PTAN |
| 000000557249 | Other | IN | ANTHEM |
| 000000586512 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 01040154A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital Of Anderson And Madison County | Anderson, IN | Hospital |
| Ascension St Vincent Mercy | Elwood, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Community Hospital East | Indianapolis, IN | Hospital |
| Ascension St Vincent Anderson | Anderson, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1569 |
| Lutheran Medical Group Llc | 4981751617 | 251 |
| Community Physician Network Specialty Care Llc | 9931697265 | 260 |
| Entity Name | Lutheran Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Entity Name | Community Physicians of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Entity Name | Community Physician Network Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588535496 PECOS PAC ID: 9931697265 Enrollment ID: O20251113002438 |
| Mailing Address | Practice Location Address |
|---|---|
| Preetham Jetty, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: Not Available | Preetham Jetty, MD 1210 A Medical Arts Blvd, Suite 105, Anderson, IN 46011-3437 Ph: (765) 298-4660 |
Mark Randall Jennings, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-649-2511 |
Dr. Dalwinderpal Singh Samra, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1547 Ohio Ave., Anderson, IN 46016 Phone: 609-694-8566 |
Ubaidullah Sharief, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2020 Meridian St Ste 100, Anderson, IN 46016 Phone: 765-646-8509 |
Adam L Greene, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 141 W 22nd St Ste 109, Anderson, IN 46016 Phone: 765-646-8538 |
Dr. Mohammad Sami Bakdash, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 765-298-4242 Fax: 317-355-8734 |
Chad Michael Feldman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 141 W 22nd St Ste 109, Anderson, IN 46016 Phone: 765-646-8538 |
Warda Siddiqui, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 141 W 22nd St Ste 311, Anderson, IN 46016 Phone: 765-641-7100 Fax: 765-641-7115 |