| Venkata Samavedi, MD | |
|
704 Davis St, Carthage, TX 75633-1463 | |
| (903) 694-4824 | |
| (903) 694-4823 |
| Full Name | Venkata Samavedi |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 704 Davis St, Carthage, 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 |
|---|---|---|---|
| 1235340589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2023011534 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | M9629 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Home Health Skilled Services | Longview, TX | Home health agency |
| East Texas Medical Center - Carthage | Carthage, TX | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Ut Health East Texas Henderson Hospital | Henderson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 373 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata Samavedi, MD 704 Davis St, Carthage, TX 75633-1463 Ph: (903) 694-4824 | Venkata Samavedi, MD 704 Davis St, Carthage, TX 75633-1463 Ph: (903) 694-4824 |
Iraj Roshan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1519 W Panola St, Carthage, TX 75633 Phone: 903-694-2871 Fax: 903-694-2895 | |
Jack Coldwell Smith Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 Cottage Rd, Carthage, TX 75633 Phone: 903-694-4824 Fax: 903-694-4621 |