| Ms Manga Telidevara, NP | |
|
615 Worsham St, Montgomery, TX 77316-4497 | |
| (281) 650-0945 | |
| Not Available |
| Full Name | Ms Manga Telidevara |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 615 Worsham St, Montgomery, 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 |
|---|---|---|---|
| 1497474373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1090732 (Texas) | Primary |
| 363L00000X | Nurse Practitioner | 1090732 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Home Health Care, Inc | Grants pass, OR | Home health agency |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Well Spring Health Llc | 4385075902 | 3 |
| Entity Name | Well Spring Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417581315 PECOS PAC ID: 4385075902 Enrollment ID: O20200515001114 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Manga Telidevara, NP 615 Worsham St, Montgomery, TX 77316-4497 Ph: (281) 650-0945 | Ms Manga Telidevara, NP 615 Worsham St, Montgomery, TX 77316-4497 Ph: (281) 650-0945 |
Wilmot Lambert, RN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 149 Pineview Cove Ct, Montgomery, TX 77316 Phone: 936-548-6598 | |
Brooke Ann Parker, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5314 Pecan Tree Ln, Montgomery, TX 77316 Phone: 936-499-9019 | |
Mrs. Dionne Ladonna Massiah, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 795 Fish Creek Thoroughfare Ste 270, Montgomery, TX 77316 Phone: 936-436-8121 Fax: 936-436-8114 | |
Dana Mendoza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Blue Heron Dr Ste 101, Montgomery, TX 77316 Phone: 936-290-0761 | |
Mary Rochelle Schultz, RN-CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18057 Highway 105 W Ste 220, Montgomery, TX 77356 Phone: 936-582-5620 Fax: 936-582-5621 | |
Miranda Michelle Roach, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11907 Candlewood Pl, Montgomery, TX 77356 Phone: 720-480-3790 | |
Jorge Figueroa, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 N Greatwood Glen Pl, Montgomery, TX 77316 Phone: 760-718-9443 |