Christine Grace Manthuruthil, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dallas, Texas. Her current practice location is
5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 590-8000.
Christine Grace Manthuruthil is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760913875.
Physician's Profile
Full Name | Christine Grace Manthuruthil |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5323 Harry Hines Blvd, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760913875
- Provider Enumeration Date: 03/22/2017
- Last Update Date: 04/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082031802
- Enrollment ID: I20200825002486
Medical Identifiers
Medical identifiers for Christine Grace Manthuruthil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760913875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RP1001X | Internal Medicine - Pulmonary Disease | DR.0073044 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Christine Grace Manthuruthil allows following entities to bill medicare on her behalf.
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
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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. Christine Grace Manthuruthil 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 |
Christine Grace Manthuruthil, MD 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: () - | Christine Grace Manthuruthil, MD 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: (214) 590-8000 |
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