Dr Manisha Surendra Raythatha, MD in Mesa, AZ

Dr Manisha Surendra Raythatha, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mesa, Arizona. Her current practice location is 6424 E Broadway Rd Ste 101, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 456-9000.

Dr Manisha Surendra Raythatha is licensed to practice in Arizona (license number 55506) 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 1790046399.

Contact Information

	Dr Manisha Surendra Raythatha, MD
	6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750
	(480) 456-9000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Manisha Surendra Raythatha
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	6424 E Broadway Rd Ste 101, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790046399
Provider Enumeration Date: 05/31/2012
Last Update Date: 01/31/2019

Medicare PECOS Information:

PECOS PAC ID: 1951646538
Enrollment ID: I20181231001539

Medical Identifiers

Medical identifiers for Dr Manisha Surendra Raythatha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790046399	NPI	-	NPPES
401584	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	55506 (Arizona)	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. Dr Manisha Surendra Raythatha allows following entities to bill medicare on her behalf.

Entity Name	Associated Valley Radiologists Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932683257 PECOS PAC ID: 8325388499 Enrollment ID: O20190327003225

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 Manisha Surendra Raythatha 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 Manisha Surendra Raythatha, MD 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 Ph: (602) 521-6252	Dr Manisha Surendra Raythatha, MD 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 Ph: (480) 456-9000

Reviews and Comments

Radiology Doctors in Mesa, AZ

Asim A. Khwaja, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-926-8332
Tobias Schifter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000
Stuart B. Cohen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805
James B. Lyons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000
Dr. Kirk D Minkus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7529 E Broadway Rd Ste 101, Mesa, AZ 85208 Phone: 480-945-4343 Fax: 480-945-4350
Marvin K. Tam, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000
Brian J. Igel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805

Dr Manisha Surendra Raythatha, MD - Medicare Radiology in Mesa, AZ