Anisha Mandava, MD in Peachtree City, GA - Medicare Internal Medicine

Anisha Mandava, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Peachtree City, Georgia. Her current practice location is 100 Mcwillams Drive, Peachtree City, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 702-1864.

Anisha Mandava is licensed to practice in Georgia (license number 95772) 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 1891932729.

Contact Information

	Anisha Mandava, MD
	100 Mcwillams Drive, Peachtree City, GA 30269
	(770) 702-1864
	(833) 305-0287

Map and Direction

Physician's Profile

Full Name	Anisha Mandava
Gender	Female
Speciality	Internal Medicine - Cardiovascular Disease
Location	100 Mcwillams Drive, Peachtree City, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891932729
Provider Enumeration Date: 01/14/2009
Last Update Date: 07/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6800952342
Enrollment ID: I20240903002018

Medical Identifiers

Medical identifiers for Anisha Mandava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891932729	NPI	-	NPPES
11939090	Other		CAQH
P01198011	Other		RAILROAD M'CARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	14458 (Nevada)	Secondary
208M00000X	Hospitalist	250978 (New York)	Secondary
208M00000X	Hospitalist	047099 (Connecticut)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	95772 (Georgia)	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. Anisha Mandava allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Anisha Mandava 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
Anisha Mandava, MD 100 Mcwillams Drive, Peachtree City, GA 30269 Ph: (770) 702-1864	Anisha Mandava, MD 100 Mcwillams Drive, Peachtree City, GA 30269 Ph: (770) 702-1864

Reviews and Comments

Internal Medicine Doctors in Peachtree City, GA

Aslam Mohammed Khan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Mcwilliams Drive, Peachtree City, GA 30269 Phone: 770-702-1864 Fax: 833-305-0287
Dr. Evgenia Korytnaya Scott, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6000 Shakerag Hl Ste 116, Peachtree City, GA 30269 Phone: 404-500-9914 Fax: 404-760-0855
Dr. Unnisa Faiyaz, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2579 Highway 54, Peachtree City, GA 30269 Phone: 770-487-7807 Fax: 770-487-7619
Dr. Kimberly R Wollenhaupt, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 215 Brighton Path, Peachtree City, GA 30269 Phone: 770-815-5584
Dr. Zia Khan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2579 Highway 54, Peachtree City, GA 30269 Phone: 770-487-7807 Fax: 770-487-7619
Dr. Michael E. Obenshain, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4000 Shakerag Hl, Peachtree City, GA 30269 Phone: 770-486-7100
Melina Paola Diaz-cardenas, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 306 White Springs Ln, Peachtree City, GA 30269 Phone: 888-651-7732 Fax: 888-651-7732

Anisha Mandava, MD - Medicare Internal Medicine in Peachtree City, GA