Anil Kumar Reddy Manda, DMD is a medicare enrolled "Dentist" provider in Evansville,, Indiana. His current practice location is
5020 West Lloyd Expwy, Ste 200, Evansville,, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 463-8000.
Anil Kumar Reddy Manda is licensed to practice in Indiana (license number 12011176A) 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 1528223054.
Healthcare Provider's Profile
Full Name | Anil Kumar Reddy Manda |
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Gender | Male |
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Speciality | Dentist |
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Location | 5020 West Lloyd Expwy, Evansville,, Indiana |
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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: 1528223054
- Provider Enumeration Date: 07/24/2008
- Last Update Date: 07/24/2008
Medicare PECOS Information:
- PECOS PAC ID: 7012215155
- Enrollment ID: I20160406000699
Medical Identifiers
Medical identifiers for Anil Kumar Reddy Manda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528223054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 12011176A (Indiana) | 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. Anil Kumar Reddy Manda 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 |
Anil Kumar Reddy Manda, DMD Po Box 3189, Syracuse, NY 13220 Ph: (866) 273-8204 | Anil Kumar Reddy Manda, DMD 5020 West Lloyd Expwy, Ste 200, Evansville,, IN 47712 Ph: (812) 463-8000 |
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