Maanasa Jetty, MD in Marshall, TX - Medicare Hospitalist

Maanasa Jetty, MD is a medicare enrolled "Hospitalist" physician in Marshall, Texas. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Christus Trinity Clinic, North Texas Physician Services, Pllc and her current practice location is 811 S Washington Ave, Marshall, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 315-1488.

Maanasa Jetty is licensed to practice in Texas (license number P2688) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770817629.

Contact Information

	Maanasa Jetty, MD
	811 S Washington Ave, Marshall, TX 75670-5336
	(903) 315-1488
	(903) 315-1656

Map and Direction

Physician's Profile

Full Name	Maanasa Jetty
Gender	Female
Speciality	Hospitalist
Experience	17 Years
Location	811 S Washington Ave, Marshall, 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.

Medical Education and Training:

Maanasa Jetty graduated from medical school in 2007

NPI Data:

NPI Number: 1770817629
Provider Enumeration Date: 09/24/2009
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 0840454906
Enrollment ID: I20120621000256

Medical Identifiers

Medical identifiers for Maanasa Jetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770817629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	P2688 (Texas)	Secondary
208M00000X	Hospitalist	P2688 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217
North Texas Physician Services, Pllc	6305295429	161

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maanasa Jetty allows following entities to bill medicare on her behalf.

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

Entity Name	North Texas Physician Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maanasa Jetty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Maanasa Jetty, MD Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-1488	Maanasa Jetty, MD 811 S Washington Ave, Marshall, TX 75670-5336 Ph: (903) 315-1488

Maanasa Jetty, MD - Medicare Hospitalist in Marshall, TX