Ketki Patel, MD | |
2010 Bill Owens Pkwy, Longview, TX 75604-6210 | |
(903) 247-3400 | |
Not Available |
Full Name | Ketki Patel |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 2010 Bill Owens Pkwy, Longview, 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 |
---|---|---|---|
1255629465 | NPI | - | NPPES |
1N1803 | Other | TX | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 48843 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 2014-01424 (North Carolina) | Secondary |
207Q00000X | Family Medicine | S8231 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Ketki Patel, MD Po Box 432, Pikeville, KY 41502-0432 Ph: (606) 218-3500 | Ketki Patel, MD 2010 Bill Owens Pkwy, Longview, TX 75604-6210 Ph: (903) 247-3400 |
Dr. Ravikumar Hanumanthaiah Edalur, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1005 N Eastman Rd, None, Longview, TX 75601 Phone: 903-239-1518 Fax: 903-247-8273 | |
Marco Antonio Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8176 | |
John Layton Wright Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 802 Medical Dr Ste 401, Longview, TX 75605 Phone: 903-553-7670 | |
George Kenneth Marshall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 N 4th St, Longview, TX 75601 Phone: 903-758-3441 Fax: 903-758-5995 | |
Venkata Amarendra Mangalagiri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Walnut Hill Dr, Longview, TX 75605 Phone: 903-759-7200 | |
Sarah Chavez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8115 |