Mervin Punzalan Manuel, MD in Fernandina Beach, FL

Mervin Punzalan Manuel, MD is a medicare enrolled "Pediatrics" physician in Fernandina Beach, Florida. His current practice location is 1463 Nectarine St, Fernandina Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 491-0177.

Mervin Punzalan Manuel is licensed to practice in Florida (license number ME123580) 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 1215070396.

Contact Information

	Mervin Punzalan Manuel, MD
	1463 Nectarine St, Fernandina Beach, FL 32034-3027
	(904) 491-0177
	(904) 491-3173

Map and Direction

Physician's Profile

Full Name	Mervin Punzalan Manuel
Gender	Male
Speciality	Pediatrics
Location	1463 Nectarine St, Fernandina Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215070396
Provider Enumeration Date: 02/15/2007
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4789777939
Enrollment ID: I20151002001083

Medical Identifiers

Medical identifiers for Mervin Punzalan Manuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215070396	NPI	-	NPPES
016615600	Medicaid	FL
102682978	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME123580 (Florida)	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. Mervin Punzalan Manuel allows following entities to bill medicare on his behalf.

Entity Name	White-wilson Medical Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467437277 PECOS PAC ID: 4082510607 Enrollment ID: O20031212000140

Entity Name	North Okaloosa Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576

Entity Name	Trenton Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865

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. Mervin Punzalan Manuel 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
Mervin Punzalan Manuel, MD 900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923 Ph: (904) 491-0177	Mervin Punzalan Manuel, MD 1463 Nectarine St, Fernandina Beach, FL 32034-3027 Ph: (904) 491-0177

Reviews and Comments

Pediatrics Doctors in Fernandina Beach, FL

Emily Nicole Reed, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1463 Nectarine Street, Fernandina Beach, FL 32034 Phone: 901-491-0177 Fax: 904-491-3173
Dr. Bruce Stewart West, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1340 S 18th St, #203, Fernandina Beach, FL 32034 Phone: 904-261-7707 Fax: 907-261-8616
Elmarie Sabban, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1463 Nectarine St, Fernandina Beach, FL 32034 Phone: 904-491-0177 Fax: 904-491-3173
William Edward Hansberry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1620 Nectarine St, Fernandina Beach, FL 32034 Phone: 904-548-1860 Fax: 904-277-7283
Carmita Marrero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1463 Nectarine St, Fernandina Beach, FL 32034 Phone: 904-491-0177 Fax: 904-491-3173
Dr. Lera Liv Fina, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22455 Flora Parke Xing, Fernandina Beach, FL 32034 Phone: 904-572-1884

Mervin Punzalan Manuel, MD - Medicare Pediatrics in Fernandina Beach, FL