Marvin Gil Manalo, in Azusa, CA - Medicare Nurse Practitioner

Marvin Gil Manalo, is a medicare enrolled "Nurse Practitioner - Family" in Azusa, California. His current practice location is 459 S Azusa Ave Ste F, Azusa, California. You can reach out to his office (for appointments etc.) via phone at (626) 804-7169.

Marvin Gil Manalo is licensed to practice in California (license number 95032534) 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 1437971561.

Contact Information

	Marvin Gil Manalo,
	459 S Azusa Ave Ste F, Azusa, CA 91702-4945
	(626) 804-7169
	(626) 804-7265

Map and Direction

Provider's Profile

Full Name	Marvin Gil Manalo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	459 S Azusa Ave Ste F, Azusa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437971561
Provider Enumeration Date: 10/29/2024
Last Update Date: 12/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5799212130
Enrollment ID: I20241223002969

Medical Identifiers

Medical identifiers for Marvin Gil Manalo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437971561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95032534 (California)	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. Marvin Gil Manalo allows following entities to bill medicare on his behalf.

Entity Name	Mallu Reddy Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184821340 PECOS PAC ID: 8022193994 Enrollment ID: O20080317000645

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. Marvin Gil Manalo 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
Marvin Gil Manalo, 16362 Shamhart Dr, Granada Hills, CA 91344-2834 Ph: (818) 390-0804	Marvin Gil Manalo, 459 S Azusa Ave Ste F, Azusa, CA 91702-4945 Ph: (626) 804-7169

Reviews and Comments

Nurse Practitioner Nurses in Azusa, CA

Mrs. Veronika J Weller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 N Azusa Ave, Azusa, CA 91702 Phone: 626-969-7885
Suzanne Kang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 E Alosta Ave # Ca, Azusa, CA 91702 Phone: 562-688-6894
Mrs. Linda Marie Schutz, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 E Foothill Blvd, Azusa, CA 91702 Phone: 626-815-5403 Fax: 626-815-5414
Marisa Jean Quon, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 E Alosta Ave, Azusa, CA 91702 Phone: 626-815-2100 Fax: 626-815-2102
Hannah Francisco Tsai, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 E Alosta Ave, Azusa, CA 91702 Phone: 626-815-2100 Fax: 626-815-2102
Leslie Paredes-plaza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6015 N Goodway Dr, Azusa, CA 91702 Phone: 626-722-7073
Irina Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 E Foothill Blvd, Azusa, CA 91702 Phone: 626-815-5386

Marvin Gil Manalo, - Medicare Nurse Practitioner in Azusa, CA