Isaac Gray Manis Iii, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lexington, Kentucky. His current practice location is
245 Fountain Ct Ste 225, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 323-6021.
Isaac Gray Manis Iii is licensed to practice in Kentucky (license number 1368) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740363324.
Healthcare Provider's Profile
| Full Name | Isaac Gray Manis Iii |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 245 Fountain Ct Ste 225, Lexington, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740363324
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 07/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921102849
- Enrollment ID: I20070403000337
Medical Identifiers
Medical identifiers for Isaac Gray Manis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740363324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 1368 (Kentucky) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1368 (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1368 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1368 (Kentucky) | 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. Isaac Gray Manis Iii allows following entities to bill medicare on his behalf.
| Entity Name | University Of Kentucky |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072 |
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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. Isaac Gray Manis Iii 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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Isaac Gray Manis Iii, MSW, LCSW
2333 Alumni Park Plz, Suite 200,
Lexington, KY 40517-4012
Ph: (859) 257-7910 | Isaac Gray Manis Iii, MSW, LCSW
245 Fountain Ct Ste 225,
Lexington, KY 40509-1888
Ph: (859) 323-6021 |
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