Gollavelli Jyothi Krishna, MD | |
208 Oak Dr S, Suite 700, Lake Jackson, TX 77566-5790 | |
(979) 230-4852 | |
(979) 230-4863 |
Full Name | Gollavelli Jyothi Krishna |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 42 Years |
Location | 208 Oak Dr S, Lake Jackson, 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 |
---|---|---|---|
1871754036 | NPI | - | NPPES |
01688384 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 193726 (New York) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | P1190 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Gulf Coast Center | 6204821895 | 14 |
Entity Name | Bexar County Board Of Trustees For Mental Health Mental Retardation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730134586 PECOS PAC ID: 5496652760 Enrollment ID: O20031215000906 |
Entity Name | Spindletop Mhmr Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952357550 PECOS PAC ID: 1658268321 Enrollment ID: O20040228000236 |
Entity Name | The Gulf Coast Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245285899 PECOS PAC ID: 6204821895 Enrollment ID: O20040414001641 |
Entity Name | Bluebonnet Trails Community Mhmr Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730135864 PECOS PAC ID: 5799775409 Enrollment ID: O20040514000751 |
Entity Name | Andrews Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821064742 PECOS PAC ID: 9739170770 Enrollment ID: O20040519001179 |
Entity Name | Burke Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396792420 PECOS PAC ID: 1254312077 Enrollment ID: O20040527000661 |
Entity Name | Camino Real Community Mhmr Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154411262 PECOS PAC ID: 9931183449 Enrollment ID: O20040614001095 |
Entity Name | Heart Of Texas Region Mhmr Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639399132 PECOS PAC ID: 9830105105 Enrollment ID: O20060223000214 |
Mailing Address | Practice Location Address |
---|---|
Gollavelli Jyothi Krishna, MD 208 Oak Dr S, Suite 700, Lake Jackson, TX 77566-5790 Ph: (979) 230-4852 | Gollavelli Jyothi Krishna, MD 208 Oak Dr S, Suite 700, Lake Jackson, TX 77566-5790 Ph: (979) 230-4852 |
Rakesh Jain, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 This Way St, Lake Jackson, TX 77566 Phone: 979-480-9886 Fax: 979-480-9997 | |
Dr. Kenneth Oghale Osiezagha, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 Oak Dr S Ste 102, Lake Jackson, TX 77566 Phone: 979-266-9776 Fax: 850-220-1523 |