| Laxmaiah Manchikanti, MD | |
|
2831 Lone Oak Rd, Paducah, KY 42003-8041 | |
| (270) 554-8373 | |
| (270) 554-8987 |
| Full Name | Laxmaiah Manchikanti |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 52 Years |
| Location | 2831 Lone Oak Rd, Paducah, Kentucky |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730178799 | NPI | - | NPPES |
| 64206709 | Medicaid | KY | |
| 000000067584 | Other | KY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 20670 (Kentucky) | Primary |
| 207L00000X | Anesthesiology | 20670 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lourdes Hospital | Paducah, KY | Hospital |
| Murray-calloway County Hospital | Murray, KY | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Massac Memorial Hospital | Metropolis, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
| Entity Name | Pain Management Centers Of America Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20190411001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Laxmaiah Manchikanti, MD 2831 Lone Oak Rd, Paducah, KY 42003-8041 Ph: (270) 554-8373 | Laxmaiah Manchikanti, MD 2831 Lone Oak Rd, Paducah, KY 42003-8041 Ph: (270) 554-8373 |
Yogesh B Malla, M.D. Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 2831 Lone Oak Rd, Paducah, KY 42003 Phone: 270-554-8373 Fax: 270-554-8987 | |
Riley D Love, MD Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 67 Lakeview Dr, Paducah, KY 42001 Phone: 270-554-8373 Fax: 270-554-8987 | |
Dr. Kavita Manchikanti, MD Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 2831 Lone Oak Rd, Paducah, KY 42003 Phone: 270-554-8373 Fax: 270-554-8987 |