Nitya Bandla Mambalam, MD, in Bethlehem, PA

Nitya Bandla Mambalam, MD, is a medicare enrolled "Psychiatry & Neurology - Vascular Neurology" physician in Bethlehem, Pennsylvania. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Neurology. She is a member of the group practice St Luke's Physician Group Inc and her current practice location is 1417 8th Ave, Bethlehem, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 526-5210.

Nitya Bandla Mambalam is licensed to practice in Pennsylvania (license number MD458239) 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 1376983767.

Contact Information

	Nitya Bandla Mambalam, MD,
	1417 8th Ave, Bethlehem, PA 18018-2256
	(484) 526-5210
	(484) 526-5237

Map and Direction

Physician's Profile

Full Name	Nitya Bandla Mambalam
Gender	Female
Speciality	Neurology
Experience	13 Years
Location	1417 8th Ave, Bethlehem, Pennsylvania
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:

Nitya Bandla Mambalam graduated from medical school in 2011

NPI Data:

NPI Number: 1376983767
Provider Enumeration Date: 06/28/2013
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2264676931
Enrollment ID: I20171019000192

Medical Identifiers

Medical identifiers for Nitya Bandla Mambalam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376983767	NPI	-	NPPES
2013021634	Other	MO	MISSOURI TEMPORARY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084V0102X	Psychiatry & Neurology - Vascular Neurology	MD458239 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Hospital Bethlehem	Bethlehem, PA	Hospital
St Luke's Hospital - Monroe Campus	Stroudsburg, PA	Hospital
St Luke's Hospital - Anderson Campus	Easton, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Luke's Physician Group Inc	6709798333	1727

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. Nitya Bandla Mambalam allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Gslpg, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763

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. Nitya Bandla Mambalam 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
Nitya Bandla Mambalam, MD, 1417 8th Ave, Bethlehem, PA 18018-2256 Ph: (484) 526-5210	Nitya Bandla Mambalam, MD, 1417 8th Ave, Bethlehem, PA 18018-2256 Ph: (484) 526-5210

Reviews and Comments

Psychiatry & Neurology Doctors in Bethlehem, PA

Edgar M Vizcaino, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 865 E 4th St, Bethlehem, PA 18015 Phone: 484-221-9136 Fax: 484-221-9130
Brendan Elias, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 866-785-8537
Dr. Sandra Wandji Veigne, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-822-5700
Dr. Jonathan P. Hosey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1417 8th Ave, Bethlehem, PA 18018 Phone: 484-526-5210 Fax: 484-526-5237
Yassar Odhejo, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2545 Schoenersville Rd Fl 5, Bethlehem, PA 18017 Phone: 484-884-6503 Fax: 484-884-6504
Itay Keshet, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 484-884-2888 Fax: 484-884-2885
Brian Hanrahan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1417 8th Ave, Bethlehem, PA 18018 Phone: 484-526-5210

Nitya Bandla Mambalam, MD, - Medicare Neurology in Bethlehem, PA