Maneesh Koneru, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-2150.
Maneesh Koneru is licensed to practice in * (Not Available) (license number ) 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 1003566456.
Physician's Profile
| Full Name | Maneesh Koneru |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1215 Lee St, Charlottesville, Virginia |
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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: 1003566456
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062892151
- Enrollment ID: I20220707000902
Medical Identifiers
Medical identifiers for Maneesh Koneru such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003566456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 125.081704 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Maneesh Koneru 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 |
|---|
Maneesh Koneru,
1215 Lee St Box 800719,
Charlottesville, VA 22908-0816
Ph: (434) 924-2150 | Maneesh Koneru,
1215 Lee St,
Charlottesville, VA 22908-0816
Ph: (434) 924-2150 |
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