Mamatha Ananth, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Bogalusa, Louisiana. Her current practice location is
433 Plaza St Ste 1a, Bogalusa, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 730-6970.
Mamatha Ananth is licensed to practice in Louisiana (license number MD11747R) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467447185.
Physician's Profile
| Full Name | Mamatha Ananth |
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| Gender | Female |
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| Speciality | Pediatrics - Adolescent Medicine |
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| Location | 433 Plaza St Ste 1a, Bogalusa, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467447185
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 10/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860664927
- Enrollment ID: I20111013000566
Medical Identifiers
Medical identifiers for Mamatha Ananth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467447185 | NPI | - | NPPES |
| 1797103 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080A0000X | Pediatrics - Adolescent Medicine | MD11747R (Louisiana) | 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. Mamatha Ananth allows following entities to bill medicare on her behalf.
| Entity Name | Childrens Urgent Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124541438 PECOS PAC ID: 9234405408 Enrollment ID: O20210811000749 |
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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. Mamatha Ananth 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 |
Mamatha Ananth, MD 433 Plaza St, Bogalusa, LA 70427-3729 Ph: (985) 730-6970 | Mamatha Ananth, MD 433 Plaza St Ste 1a, Bogalusa, LA 70427-3729 Ph: (985) 730-6970 |
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