Dr Manish Suresh Noticewala, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Douglasville, Georgia. He went to Yale University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is
8901 Stonebridge Blvd Ste 200, Douglasville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(943) 202-7030.
Dr Manish Suresh Noticewala is licensed to practice in Georgia (license number 93579) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588922728.
Physician's Profile
| Full Name | Dr Manish Suresh Noticewala |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 12 Years |
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| Location | 8901 Stonebridge Blvd Ste 200, Douglasville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Manish Suresh Noticewala attended and graduated from Yale University School Of Medicine in 2012
NPI Data:
- NPI Number: 1588922728
- Provider Enumeration Date: 04/25/2012
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587934633
- Enrollment ID: I20221019000373
Medical Identifiers
Medical identifiers for Dr Manish Suresh Noticewala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588922728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 295921 (New York) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 295921 (New York) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 93579 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellstar Medical Group, Llc | 6709065402 | 1839 |
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. Dr Manish Suresh Noticewala allows following entities to bill medicare on his behalf.
| Entity Name | Wellstar Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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. Dr Manish Suresh Noticewala 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 |
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Dr Manish Suresh Noticewala, MD
8901 Stonebridge Blvd Ste 200,
Douglasville, GA 30134-2244
Ph: (943) 202-7030 | Dr Manish Suresh Noticewala, MD
8901 Stonebridge Blvd Ste 200,
Douglasville, GA 30134-2244
Ph: (943) 202-7030 |
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