Kirthi Kavya Jetty, DO | |
1075 N Washington St, Greenfield, OH 45123-9780 | |
(937) 981-9444 | |
Not Available |
Full Name | Kirthi Kavya Jetty |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1075 N Washington St, Greenfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407317159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.015685 (Ohio) | Primary |
Entity Name | Adena Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
Mailing Address | Practice Location Address |
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Kirthi Kavya Jetty, DO 1075 N Washington St, Greenfield, OH 45123-9780 Ph: (937) 981-9444 | Kirthi Kavya Jetty, DO 1075 N Washington St, Greenfield, OH 45123-9780 Ph: (937) 981-9444 |
Christina Jean Deland-reeves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 N Washington St, Greenfield, OH 45123 Phone: 937-981-9444 Fax: 937-981-9448 | |
Alex Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 N Washington St, Greenfield, OH 45123 Phone: 937-981-9444 Fax: 937-981-9448 | |
Valerie Francis Good, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 N Washington St, Greenfield, OH 45123 Phone: 937-981-9444 | |
Michael S Turner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 550 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-2116 Fax: 937-981-9238 | |
Duane L Mast, Family Medicine Medicare: Medicare Enrolled Practice Location: 550 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-2116 | |
Richard D Mizer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 N Washington St, Greenfield, OH 45123 Phone: 937-981-9444 Fax: 937-981-9448 |