Mary Manis, MS MD is a medicare enrolled "Family Medicine" physician in Rusk, Texas. She went to University Of Texas Medical Branch At Galveston and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Centerwell Senior Primary Care Tx Pa and her current practice location is
Rusk State Hospital, 1601 North Dickinson Drive, Rusk, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 683-7436.
Mary Manis is licensed to practice in Texas (license number J1974) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457352288.
Physician's Profile
| Full Name | Mary Manis |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 33 Years |
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| Location | Rusk State Hospital, Rusk, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Manis attended and graduated from University Of Texas Medical Branch At Galveston in 1991
NPI Data:
- NPI Number: 1457352288
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 06/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 7315920238
- Enrollment ID: I20040611000138
Medical Identifiers
Medical identifiers for Mary Manis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457352288 | NPI | - | NPPES |
| 1286064-06 | Medicaid | TX | |
| 127101 | Other | TX | SUPERIOR |
| 0011KW | Other | TX | BLUECROSS BLUESHIELD |
| 1286064-07 | Other | TX | MEDICAID THSTEPS |
| P00166344 | Other | | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | J1974 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centerwell Senior Primary Care Tx Pa | 4789950247 | 74 |
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. Mary Manis allows following entities to bill medicare on her behalf.
| Entity Name | Health And Human Services Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058 |
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| Entity Name | Centerwell Senior Primary Care Tx Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861959298
PECOS PAC ID: 4789950247
Enrollment ID: O20190327001232 |
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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. Mary Manis 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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Mary Manis, MS MD
Rusk State Hospital, 1601 North Dickinson Drive,
Rusk, TX 75785
Ph: (903) 683-7436 | Mary Manis, MS MD
Rusk State Hospital, 1601 North Dickinson Drive,
Rusk, TX 75785
Ph: (903) 683-7436 |
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