Conrad C Manayan, DO is a medicare enrolled "Surgery" physician in Kennesaw, Georgia. His current practice location is
3525 George Busbee Pkwy Nw Ste 101, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at
(800) 991-6117.
Conrad C Manayan is licensed to practice in Georgia (license number 98137) 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 1902811656.
Physician's Profile
Full Name | Conrad C Manayan |
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Gender | Male |
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Speciality | Surgery |
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Location | 3525 George Busbee Pkwy Nw Ste 101, Kennesaw, Georgia |
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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: 1902811656
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820999113
- Enrollment ID: I20170501000945
Medical Identifiers
Medical identifiers for Conrad C Manayan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902811656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 1300 (Tennessee) | Secondary |
208600000X | Surgery | 0480 (Alabama) | Secondary |
208600000X | Surgery | 98137 (Georgia) | 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. Conrad C Manayan allows following entities to bill medicare on his behalf.
Entity Name | Newberry County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740794049 PECOS PAC ID: 8123927464 Enrollment ID: O20041007000264 |
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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. Conrad C Manayan 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 |
Conrad C Manayan, DO 501 Great Circle Rd, Ste. 200, Nashville, TN 37228 Ph: (931) 815-7700 | Conrad C Manayan, DO 3525 George Busbee Pkwy Nw Ste 101, Kennesaw, GA 30144 Ph: (800) 991-6117 |
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