Dr Emmanuel Cempron Mantilla Jr, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" provider in Fort Worth, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2014 and has 10 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Healthtexas Provider Network and his current practice location is
1400 S Main St Ste 502, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 702-8400.
Dr Emmanuel Cempron Mantilla Jr is licensed to practice in Texas (license number R5771) 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 1477757730.
Healthcare Provider's Profile
| Full Name | Dr Emmanuel Cempron Mantilla Jr |
|---|
| Gender | Male |
|---|
| Speciality | Neurology |
|---|
| Experience | 10 Years |
|---|
| Location | 1400 S Main St Ste 502, Fort Worth, Texas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Emmanuel Cempron Mantilla Jr attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2014
NPI Data:
- NPI Number: 1477757730
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 2062719875
- Enrollment ID: I20190701001801
Medical Identifiers
Medical identifiers for Dr Emmanuel Cempron Mantilla Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477757730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT6189 (Ohio) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | R5771 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Healthtexas Provider Network | 1355254210 | 1810 |
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 Emmanuel Cempron Mantilla Jr allows following entities to bill medicare on his behalf.
| Provider Name | Healthtexas Provider Network |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187 |
|---|
| Provider Name | Acclaim Physician Group Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1780076562
PECOS PAC ID: 4587963582
Enrollment ID: O20160426000707 |
|---|
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 Emmanuel Cempron Mantilla Jr 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 |
|---|
Dr Emmanuel Cempron Mantilla Jr, DO
200 West Magnolia Ave, Suite 201, Acclaim Physician Group,
Fort Worth, TX 76104
Ph: (817) 702-2385 | Dr Emmanuel Cempron Mantilla Jr, DO
1400 S Main St Ste 502,
Fort Worth, TX 76104-4909
Ph: (817) 702-8400 |
Reviews and Comments