Paul Edward Manicone, MD - Medicare Pediatrics in Washington, DC

Paul Edward Manicone, MD is a medicare enrolled "Pediatrics" physician in Washington, District Of Columbia. His current practice location is 111 Michigan Ave Nw, West Wing, Floor 1.5 Suite 600, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 884-5000.

Paul Edward Manicone is licensed to practice in District Of Columbia (license number MD035621) 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 1013949726.

Contact Information

Paul Edward Manicone, MD
111 Michigan Ave Nw, West Wing, Floor 1.5 Suite 600,
Washington, DC 20010-2978
(202) 884-5000
Not Available

Map and Direction




Physician's Profile

Full NamePaul Edward Manicone
GenderMale
SpecialityPediatrics
Location111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013949726
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 07/16/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6406815430
  • Enrollment ID: I20051230000528

Medical Identifiers

Medical identifiers for Paul Edward Manicone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013949726NPI-NPPES
0044288MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MA77519 (New Jersey)Secondary
208000000XPediatrics MD035621 (District Of Columbia)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. Paul Edward Manicone allows following entities to bill medicare on his behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

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. Paul Edward Manicone 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 AddressPractice Location Address
Paul Edward Manicone, MD
307 S Evergreen Ave,
Woodbury, NJ 08096-2739

Ph: (856) 686-4300
Paul Edward Manicone, MD
111 Michigan Ave Nw, West Wing, Floor 1.5 Suite 600,
Washington, DC 20010-2978

Ph: (202) 884-5000

Reviews and Comments


Pediatrics Doctors in Washington, DC

Dr. Talita Michelle Jordan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 202-476-5000    
Yue-hin Loke, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 111 Michigan Ave Nw, W3.5, 600, Washington, DC 20010
Phone: 202-476-3670    
Elshadey Yayehyerade Bekele,
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Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 301-565-4279    
Jia Liu, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 202-476-5000    
Dr. Charles John Billington Jr., MDPHD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, W3.5, 600, Washington, DC 20010
Phone: 202-476-3670    Fax: 202-476-4741
Dr. Joy Marie Morgan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 202-476-5000    
Nicole V Lang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1145 19th St Nw, Ste 708, Washington, DC 20036
Phone: 202-955-5625    Fax: 202-955-5626

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.