Dr Matthew Shahram Manighalam, MD is a medicare enrolled "Clinic/center - Occupational Medicine" physician in Cupertino, California. His current practice location is
10050 N Wolfe Rd, Cupertino, California. You can reach out to his office (for appointments etc.) via phone at
(408) 236-6160.
Dr Matthew Shahram Manighalam is licensed to practice in California (license number A192257) 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 1871079640.
Physician's Profile
| Full Name | Dr Matthew Shahram Manighalam |
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| Gender | Male |
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| Speciality | Clinic/center - Occupational Medicine |
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| Location | 10050 N Wolfe Rd, Cupertino, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871079640
- Provider Enumeration Date: 07/16/2018
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486006061
- Enrollment ID: I20240118004278
Medical Identifiers
Medical identifiers for Dr Matthew Shahram Manighalam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871079640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2018011141 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2018011141 (Texas) | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | A192257 (California) | 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 Matthew Shahram Manighalam allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Matthew Shahram Manighalam 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 |
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Dr Matthew Shahram Manighalam, MD
10050 N Wolfe Rd,
Cupertino, CA 95014-2519
Ph: (714) 726-6266 | Dr Matthew Shahram Manighalam, MD
10050 N Wolfe Rd,
Cupertino, CA 95014-2519
Ph: (408) 236-6160 |
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