Bryanna Mantilla, MD, PHD, MPH in Snoqualmie, WA

Bryanna Mantilla, MD, PHD, MPH is a medicare enrolled "Internal Medicine - Rheumatology" physician in Snoqualmie, Washington. Her current practice location is 9801 Frontier Ave Se, Snoqualmie, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 831-2300.

Bryanna Mantilla is licensed to practice in Washington (license number MD61155824) 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 1437646569.

Contact Information

	Bryanna Mantilla, MD, PHD, MPH
	9801 Frontier Ave Se, Snoqualmie, WA 98065-5200
	(425) 831-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Bryanna Mantilla
Gender	Female
Speciality	Internal Medicine - Rheumatology
Location	9801 Frontier Ave Se, Snoqualmie, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437646569
Provider Enumeration Date: 04/14/2018
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 7113261272
Enrollment ID: I20230725000560

Medical Identifiers

Medical identifiers for Bryanna Mantilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437646569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	U4260 (Texas)	Secondary
207RR0500X	Internal Medicine - Rheumatology	MD61155824 (Washington)	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. Bryanna Mantilla allows following entities to bill medicare on her behalf.

Entity Name	The University Of Texas At Austin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293

Entity Name	Seton Family Of Doctors
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260

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. Bryanna Mantilla 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
Bryanna Mantilla, MD, PHD, MPH 1601 Trinity St Stop A, Austin, TX 78712-1766 Ph: () -	Bryanna Mantilla, MD, PHD, MPH 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 Ph: (425) 831-2300

Reviews and Comments

Internal Medicine Doctors in Snoqualmie, WA

Dr. Victor Cai, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 37624 Se Fury St Ste 101, Snoqualmie, WA 98065 Phone: 425-888-2016 Fax: 206-320-5170
Kimberly Witkop, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300 Fax: 425-831-2361
Megha Shah, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2313 Fax: 425-831-2361
Chitralekha Pasupuleti, M.D Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300
Dr. Noel Theodore Johnson, D.O. Rheumatology Medicare: Medicare Enrolled Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300
Yen S Chen, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2321

Bryanna Mantilla, MD, PHD, MPH - Medicare Internal Medicine in Snoqualmie, WA