Lois B Jetty, MD | |
4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | |
(740) 779-4300 | |
(740) 779-4390 |
Full Name | Lois B Jetty |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4439 State Route 159, Chillicothe, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154342020 | NPI | - | NPPES |
0189933 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.068325 (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 |
---|---|
Lois B Jetty, MD 4439 State Route 159 Ste G10, Chillicothe, OH 45601-7708 Ph: (740) 779-4300 | Lois B Jetty, MD 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 Ph: (740) 779-4300 |
Dr. Barbara D. Ianni, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7806 State Route 159, Chillicothe, OH 45601 Phone: 602-791-0179 | |
Alessandro L. Maranzana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4391 | |
Thomas Robinson, Pediatrics Medicare: Medicare Enrolled Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-7500 | |
Scott J Mccallum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4439 State Route 159, Ste G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4390 | |
Dr. Kantima C Jane-wit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4391 | |
Heather M Sever, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1264 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-6805 Fax: 740-779-9116 |