Krishna Kanth R Mettu, MD | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 635-5264 | |
(573) 761-4351 |
Full Name | Krishna Kanth R Mettu |
---|---|
Gender | Male |
Speciality | Sleep Medicine |
Experience | 25 Years |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
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 |
---|---|---|---|
1508977257 | NPI | - | NPPES |
1508977257 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | T2003012955 (Missouri) | Secondary |
2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2009008002 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson City Medical Group Pc | 1850371089 | 100 |
Entity Name | Ssm Audrain Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841334836 PECOS PAC ID: 3678481827 Enrollment ID: O20040129000368 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Mailing Address | Practice Location Address |
---|---|
Krishna Kanth R Mettu, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 635-5264 | Krishna Kanth R Mettu, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Elbert Stinson Tillerson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St., Jefferson City, MO 65102 Phone: 573-635-7651 Fax: 573-659-4515 | |
Dr. Colleen Teresa Loehr, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2013 Williams St, Jefferson City, MO 65109 Phone: 573-636-8108 | |
Dr. John W Clemens, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2701 W Edgewood Dr, Suite 101, Jefferson City, MO 65109 Phone: 573-634-5303 Fax: 573-761-6888 | |
Jack E Matteson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1026 Northeast Dr, Ste E, Jefferson City, MO 65109 Phone: 573-635-3850 Fax: 573-635-1558 | |
John C Lyskowski, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2701 W Edgewood Dr, Suite 101, Jefferson City, MO 65109 Phone: 573-634-5303 Fax: 573-761-6888 | |
Emma Seli Afua Hayford, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 141 Scott Station Rd, Jefferson City, MO 65109 Phone: 609-481-0124 |