Mr Edward Matthew Maner, PA-C is a medicare enrolled "Physician Assistant" in Forest, Mississippi. His current practice location is
330 N Broad St, Forest, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 469-4151.
Mr Edward Matthew Maner is licensed to practice in Mississippi (license number ) 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 1760197958.
Provider's Profile
| Full Name | Mr Edward Matthew Maner |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 330 N Broad St, Forest, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760197958
- Provider Enumeration Date: 01/23/2023
- Last Update Date: 04/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436524931
- Enrollment ID: I20230415000215
Medical Identifiers
Medical identifiers for Mr Edward Matthew Maner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760197958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (Mississippi) | Primary |
| 146N00000X | Emergency Medical Technician, Basic | 1020521 (Mississippi) | Secondary |
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. Mr Edward Matthew Maner allows following entities to bill medicare on his behalf.
| Entity Name | Independent Healthcare Management Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
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| Entity Name | Independent Healthcare Management Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20120111000488 |
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| Entity Name | Jackson HB Medical Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
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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. Mr Edward Matthew Maner 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 |
Mr Edward Matthew Maner, PA-C 330 N Broad St, Forest, MS 39074-3508 Ph: (601) 469-4151 | Mr Edward Matthew Maner, PA-C 330 N Broad St, Forest, MS 39074-3508 Ph: (601) 469-4151 |
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