Dr Andrea Renate Manzo, MD in Tacoma, WA - Medicare Diagnostic Radiology

Dr Andrea Renate Manzo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tacoma, Washington. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Tra-minw P S, Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, The Carol Milgard Breast Center, Tra-minw P S and her current practice location is 1304 Fawcett Ave Ste 100, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 761-4200.

Dr Andrea Renate Manzo is licensed to practice in Washington (license number MD00043385) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669545679.

Contact Information

	Dr Andrea Renate Manzo, MD
	1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900
	(253) 761-4200
	(253) 761-4201

Map and Direction

Physician's Profile

Full Name	Dr Andrea Renate Manzo
Gender	Female
Speciality	Diagnostic Radiology
Experience	29 Years
Location	1304 Fawcett Ave Ste 100, Tacoma, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrea Renate Manzo attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1995

NPI Data:

NPI Number: 1669545679
Provider Enumeration Date: 11/16/2006
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4688656028
Enrollment ID: I20040601001134

Medical Identifiers

Medical identifiers for Dr Andrea Renate Manzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669545679	NPI	-	NPPES
G8878588	Other	WA	PTAN-CMBC
184431	Other	WA	LABOR AND INDUSTRIES/WC UNION AVENUE OPEN
0243528	Other	WA	LABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER
3231MA	Other	WA	REGENCE BLUE SHIELD TRA
500671257	Medicaid	OR
7251MA	Other	WA	REGENCE BLUE SHIELD UNION AVENUE OPEN
8411456	Medicaid	WA
8951848	Other	WA	LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
G8803535	Other	WA	PTAN-WESTERN STATE HOSPITAL
0249528	Other	WA	LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
184430	Other	WA	LABOR AND INDUSTRIES/WC TRA
8803056	Other	WA	MEDICARE PIN TRA KING COUNTY
P00689845	Other	WA	RR MEDICARE-CAROL MILGARD BREAST CENTER
8949635	Other	WA	LABOR AND INDUSTRIES CRIME VICTIMS-CAROL MILGARD BREAST CENTER
G8882929	Other	WA	PTAN-MIO1
G8927637	Other	WA	PTAN-UAOM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	MD164757 (Oregon)	Secondary
2085B0100X	Radiology - Body Imaging	MD00043385 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD164757 (Oregon)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD00043385 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital
St Elizabeth Hospital	Enumclaw, WA	Hospital
St Francis Community Hospital	Federal way, WA	Hospital
Multicare Good Samaritan Hospital	Puyallup, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tra-minw P S	2163316167	127
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance	3375603970	95
The Carol Milgard Breast Center	8022172212	7
Tra-minw P S	2163316167	127

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. Dr Andrea Renate Manzo allows following entities to bill medicare on her behalf.

Entity Name	Tra-minw P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326

Entity Name	Union Avenue Open Mri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189

Entity Name	Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315

Entity Name	The Carol Milgard Breast Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063661098 PECOS PAC ID: 8022172212 Enrollment ID: O20090203000463

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. Dr Andrea Renate Manzo 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
Dr Andrea Renate Manzo, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200	Dr Andrea Renate Manzo, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 Ph: (253) 761-4200

Reviews and Comments

Radiology Doctors in Tacoma, WA

Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553

Dr Andrea Renate Manzo, MD - Medicare Diagnostic Radiology in Tacoma, WA