Rhoderick James Manhattan, PA-C is a medicare enrolled "Physician Assistant" physician in St Petersburg, Florida. His current practice location is
2191 9th Ave N Ste 150, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at
(888) 958-5343.
Rhoderick James Manhattan is licensed to practice in Florida (license number PA9111321) 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 1285678227.
Physician's Profile
| Full Name | Rhoderick James Manhattan |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2191 9th Ave N Ste 150, St Petersburg, Florida |
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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: 1285678227
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 05/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315941309
- Enrollment ID: I20131220000615
Medical Identifiers
Medical identifiers for Rhoderick James Manhattan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285678227 | NPI | - | NPPES |
| 7671688 | Other | FL | CIGNA |
| 112430800 | Medicaid | FL | |
| 11736349 | Other | FL | CAHQ |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 6023642 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA10004997 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 14837 (New York) | Secondary |
| 363A00000X | Physician Assistant | PA9111321 (Florida) | 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. Rhoderick James Manhattan 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 |
|---|
Rhoderick James Manhattan, PA-C
7901 4th St N Ste 10810,
St Petersburg, FL 33702-4305
Ph: (888) 958-5343 | Rhoderick James Manhattan, PA-C
2191 9th Ave N Ste 150,
St Petersburg, FL 33713-7146
Ph: (888) 958-5343 |
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