| Dr Marc Damian Manganiello, MD | |
|
75 Herrick St Ste 219, Beverly, MA 01915-5900 | |
| (978) 927-0714 | |
| (978) 927-9135 |
| Full Name | Dr Marc Damian Manganiello |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 75 Herrick St Ste 219, Beverly, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801059837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 243611 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Massachusetts General Hospital | Boston, MA | Hospital |
| North Shore Medical Center - | Salem, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Newton-wellesley Hospital | Newton, MA | Hospital |
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Massachusetts General Physicians Organization Inc | 2466365820 | 3204 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Entity Name | Northeast Medical Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Entity Name | Beth Israel Lahey Health Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568292423 PECOS PAC ID: 7719291434 Enrollment ID: O20160517000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc Damian Manganiello, MD 75 Herrick St Ste 219, Beverly, MA 01915-5900 Ph: (978) 927-0714 | Dr Marc Damian Manganiello, MD 75 Herrick St Ste 219, Beverly, MA 01915-5900 Ph: (978) 927-0714 |
Emilia Phillips, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr, Suite 304t, Beverly, MA 01915 Phone: 978-998-3154 Fax: 978-998-3156 | |
Yanina Barbalat, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 75 Herrick St Ste 219, Lahey Institue Of Urology, Beverly, MA 01915 Phone: 978-927-0714 | |
Dr. John S Ledbetter, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 75 Herrick St, Ste 219, Beverly, MA 01915 Phone: 978-927-0714 Fax: 978-927-9135 | |
Dr. Michael J Zachareas, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr, Suite 117t, Beverly, MA 01915 Phone: 978-232-9400 Fax: 978-232-9405 | |
Daniel Seth Blander, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 75 Herrick St, Suite 219, Beverly, MA 01915 Phone: 978-927-0714 Fax: 978-927-9135 | |
Sophia Drinis, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 |