Dr Praveen Jetty, MD | |
401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | |
(205) 785-2000 | |
(205) 785-2945 |
Full Name | Dr Praveen Jetty |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 40 Years |
Location | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, Alabama |
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 |
---|---|---|---|
1174613160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 21439 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Huntsville Hospital | Huntsville, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hh Physicians Network | 6901132448 | 90 |
Entity Name | Jetty Psychiatric Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750576815 PECOS PAC ID: 4789766924 Enrollment ID: O20080128000408 |
Entity Name | Hh Physicians Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891359683 PECOS PAC ID: 6901132448 Enrollment ID: O20190722003416 |
Mailing Address | Practice Location Address |
---|---|
Dr Praveen Jetty, MD 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 Ph: (205) 785-2000 | Dr Praveen Jetty, MD 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 Ph: (205) 785-2000 |
Rayford W Thweatt, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Marla B Morgan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Robins J Newton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2700 10th Ave S Ste 400, Birmingham, AL 35205 Phone: 205-918-0507 Fax: 205-930-2716 | |
Mohamed Kazamel, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Dr. Rodney K Swillie, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3686 Grandview Pkwy Ste 600, Birmingham, AL 35243 Phone: 205-971-3600 Fax: 844-772-0468 | |
Sandra L Frazier, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 619 19t Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Michael Alonzo Lopez, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 6th Ave S # Chb314, Birmingham, AL 35233 Phone: 205-996-7850 |