Dr Bacharanianda Chengappa Muthappa, MD, FRCS | |
120 Farm Road 2825, Clarksville, TX 75426-3348 | |
(903) 427-2201 | |
(903) 427-3204 |
Full Name | Dr Bacharanianda Chengappa Muthappa |
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Gender | Male |
Speciality | Family Practice |
Experience | 58 Years |
Location | 120 Farm Road 2825, Clarksville, Texas |
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 |
---|---|---|---|
1396835427 | NPI | - | NPPES |
000000BN34 | Other | TX | BCBS PROVIDER NUMBER |
1225203-04 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F0268 (Texas) | Primary |
208600000X | Surgery | F0268 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Country Home Care | Clarksville, TX | Home health agency |
Family Home Health | Longview, TX | Home health agency |
Cypress Home Care | Paris, TX | Home health agency |
Chambers Home Health Agency Of Northeast Texas Com | Mount pleasant, TX | Home health agency |
Lewis Home Health Care Inc | Bogata, TX | Home health agency |
Paris Regional Medical Center | Paris, TX | Hospital |
Titus Regional Medical Center | Mount pleasant, TX | Hospital |
Clarksville Nursing Center | Clarksville, TX | Nursing home |
Focused Care At Clarksville | Clarksville, TX | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
B. C. Muthappa, M.d., P.a. | 2961689500 | 2 |
Entity Name | B. C. Muthappa, M.d., P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134205107 PECOS PAC ID: 2961689500 Enrollment ID: O20110607000558 |
Entity Name | Bacharanianda Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942935663 PECOS PAC ID: 2567825953 Enrollment ID: O20230901000910 |
Mailing Address | Practice Location Address |
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Dr Bacharanianda Chengappa Muthappa, MD, FRCS 120 Farm Road 2825, P O Box 1429, Clarksville, TX 75426-3348 Ph: (903) 427-2201 | Dr Bacharanianda Chengappa Muthappa, MD, FRCS 120 Farm Road 2825, Clarksville, TX 75426-3348 Ph: (903) 427-2201 |