Dr Manuel J Datiles Iv, MD in Eldersburg, MD

Dr Manuel J Datiles Iv, MD is a medicare enrolled "Pediatrics" physician in Eldersburg, Maryland. His current practice location is 5963 Exchange Dr Ste 100, Eldersburg, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 549-0900.

Dr Manuel J Datiles Iv is licensed to practice in Maryland (license number D0079527) 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 1043577000.

Contact Information

	Dr Manuel J Datiles Iv, MD
	5963 Exchange Dr Ste 100, Eldersburg, MD 21784-9256
	(410) 549-0900
	(410) 549-6121

Map and Direction

Physician's Profile

Full Name	Dr Manuel J Datiles Iv
Gender	Male
Speciality	Pediatrics
Location	5963 Exchange Dr Ste 100, Eldersburg, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043577000
Provider Enumeration Date: 04/16/2012
Last Update Date: 01/06/2021

Medicare PECOS Information:

PECOS PAC ID: 8729228184
Enrollment ID: I20161010001311

Medical Identifiers

Medical identifiers for Dr Manuel J Datiles Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043577000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D0079527 (Maryland)	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 Manuel J Datiles Iv allows following entities to bill medicare on his behalf.

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840

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 Manuel J Datiles Iv 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 Manuel J Datiles Iv, MD 5963 Exchange Dr Ste 100, Eldersburg, MD 21784-9256 Ph: (410) 549-0900	Dr Manuel J Datiles Iv, MD 5963 Exchange Dr Ste 100, Eldersburg, MD 21784-9256 Ph: (410) 549-0900

Reviews and Comments

Pediatrics Doctors in Eldersburg, MD

Cathy H Reifman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty Rd, Suite 205, Eldersburg, MD 21784 Phone: 410-795-7300
Dr. Edward Lee Perl, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty Rd, Suite 205, Eldersburg, MD 21784 Phone: 410-795-7300 Fax: 410-795-5078
Bruce I Feinerman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty Rd Ste 205, Eldersburg, MD 21784 Phone: 410-795-7300
Dr. Jennifer A Kottra, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Liberty Rd Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900
Dr. Thomas Hickey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Liberty Rd, Suite 100, Eldersburg, MD 21784 Phone: 410-549-0900 Fax: 410-549-6121

Dr Manuel J Datiles Iv, MD - Medicare Pediatrics in Eldersburg, MD