Dr Mohammad Y Mannan, MD is a medicare enrolled "Internal Medicine" physician in Salyersville, Kentucky. His current practice location is
940 Parkway Dr, Salyersville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 298-3412.
Dr Mohammad Y Mannan is licensed to practice in Kentucky (license number 38017) 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 1588741904.
Physician's Profile
| Full Name | Dr Mohammad Y Mannan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 940 Parkway Dr, Salyersville, Kentucky |
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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: 1588741904
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618944745
- Enrollment ID: I20141201002098
Medical Identifiers
Medical identifiers for Dr Mohammad Y Mannan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588741904 | NPI | - | NPPES |
| 64082548 | Medicaid | KY | |
| P00197698 | Other | KY | RAILROAD MEDICARE |
| 000001215568 | Other | KY | CHA PROVIDER ID |
| 000000334095 | Other | KY | BLUE CROSS BLUE SHIELD |
| 0933601 | Other | KY | MEDICARE NATIONAL GOVERNMENT SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 38017 (Kentucky) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 38017 (Kentucky) | Secondary |
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 Mohammad Y Mannan allows following entities to bill medicare on his behalf.
| Entity Name | Big Sandy Health Care, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104055805
PECOS PAC ID: 1951211218
Enrollment ID: O20040510000841 |
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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 Mohammad Y Mannan 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 Mohammad Y Mannan, MD
1709 Ky Route 321,
Prestonsburg, KY 41653-9097
Ph: (606) 886-8546 | Dr Mohammad Y Mannan, MD
940 Parkway Dr,
Salyersville, KY 41465-9251
Ph: (606) 298-3412 |
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