Carol Manning Iii, is a
General Practice physician based in St Louis Park, Minnesota. Carol Manning Iii is licensed to practice in Minnesota (license number 24919) and her current practice location is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 993-3025.
NPI number for Carol Manning Iii is 1174509467 and her current mailing address is 3800 Park Nicollet Blvd, Credentialing, St Louis Park, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174509467.
Physician's Profile
Full Name | Carol Manning Iii |
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Gender | Female |
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Speciality | General Practice |
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Location | 3850 Park Nicollet Blvd, St Louis Park, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174509467
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 03/05/2012
Medical Identifiers
Medical identifiers for Carol Manning Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174509467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 24919 (Minnesota) | 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. Carol Manning Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carol Manning Iii, 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () - | Carol Manning Iii, 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Ph: (952) 993-3025 |
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