| Janu Patel, | |
|
1201 Highway 49 S Ste 1, Richland, MS 39218-9438 | |
| (601) 973-1576 | |
| (601) 664-0055 |
| Full Name | Janu Patel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1201 Highway 49 S Ste 1, Richland, Mississippi |
| 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 |
|---|---|---|---|
| 1144929076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 00722 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trustcare Health, Llc | 0547427858 | 40 |
| Medical Foundation Of Central Mississippi Inc | 1153216411 | 274 |
| Entity Name | Medical Foundation of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Entity Name | Trustcare Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427338235 PECOS PAC ID: 0547427858 Enrollment ID: O20120127000834 |
| Entity Name | Gluckstadt TC Kids, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255947297 PECOS PAC ID: 5496160210 Enrollment ID: O20210209000428 |
| Entity Name | Quad Intermed Company LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952099913 PECOS PAC ID: 6709245954 Enrollment ID: O20230706000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Janu Patel, 350 N Humphreys Blvd, Memphis, TN 38120-2177 Ph: (901) 226-4003 | Janu Patel, 1201 Highway 49 S Ste 1, Richland, MS 39218-9438 Ph: (601) 973-1576 |