Chenguttai Manohar, MD is a medicare enrolled "Internal Medicine" physician in Madison, Ohio. His current practice location is
701 N Lake St Ste 101, Madison, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 383-0100.
Chenguttai Manohar is licensed to practice in Ohio (license number 35073921M) 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 1194805374.
Physician's Profile
| Full Name | Chenguttai Manohar |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 701 N Lake St Ste 101, Madison, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194805374
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 05/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 4284769100
- Enrollment ID: I20100317000842
Medical Identifiers
Medical identifiers for Chenguttai Manohar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194805374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 35073921M (Ohio) | 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. Chenguttai Manohar allows following entities to bill medicare on his behalf.
| Entity Name | University Hospitals Regional Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336602218
PECOS PAC ID: 3779818638
Enrollment ID: O20190715001865 |
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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. Chenguttai Manohar 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 |
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Chenguttai Manohar, MD
Po Box 92937,
Cleveland, OH 44194-2937
Ph: (440) 428-7511 | Chenguttai Manohar, MD
701 N Lake St Ste 101,
Madison, OH 44057-3152
Ph: (216) 383-0100 |
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