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Janie Anu Reddy

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1102 Barclay St, San Antonio, TX 78207-7161

PECOS Enrollment

This provider is enrolled in PECOS as JANIE REDDY.

Based on the most recent information from CMS, provider Janie Anu Reddy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1649403262
Provider Type
Individual
Full Name
Reddy, Janie Anu
Title
Ms.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/30/2009
Last Updated
7/21/2022

Contact Information

Practice Location

1102 Barclay St, San Antonio, TX 78207-7161

(210) 233-7000

(210) 434-1704

Mailing Location

3066 E Commerce St, San Antonio, TX 78220-1013

(210) 233-7000

(210) 277-6387

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP118107 Texas

Provider Identifiers

ID	Description	Issuer
ID 215811501	Description Medicaid	Issuer Unlisted Texas

Janie Anu Reddy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Merchant, Shams

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Prince, Ernest

Rivera, Eileen Corbin

Jackson, Megan D

Menchaca, Arturo

Merchant, Irfan