Srinand Mandyam, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lawrenceville, Georgia. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Georgia Pain And Wellness Center, Llc and his current practice location is
455 Philip Blvd Ste 140, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 962-3642.
Srinand Mandyam is licensed to practice in Georgia (license number 70149) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1306162037.
Physician's Profile
| Full Name | Srinand Mandyam |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 18 Years |
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| Location | 455 Philip Blvd Ste 140, Lawrenceville, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Srinand Mandyam attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2006
NPI Data:
- NPI Number: 1306162037
- Provider Enumeration Date: 04/20/2010
- Last Update Date: 01/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022275098
- Enrollment ID: I20160518002481
Medical Identifiers
Medical identifiers for Srinand Mandyam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306162037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 70149 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Georgia Pain And Wellness Center, Llc | 8527200864 | 20 |
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. Srinand Mandyam allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Pain And Wellness Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356781181
PECOS PAC ID: 8527200864
Enrollment ID: O20130815000433 |
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| Entity Name | Sleep Ezzy |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154852820
PECOS PAC ID: 4486920295
Enrollment ID: O20171023003067 |
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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. Srinand Mandyam 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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Srinand Mandyam, MD
455 Philip Blvd Ste 140,
Lawrenceville, GA 30046-8768
Ph: (770) 962-3642 | Srinand Mandyam, MD
455 Philip Blvd Ste 140,
Lawrenceville, GA 30046-8768
Ph: (770) 962-3642 |
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