Dr Charles M Manganiello, MD is a medicare enrolled "General Practice" physician in Duryea, Pennsylvania. His current practice location is
605 Main St, Duryea, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 457-1110.
Dr Charles M Manganiello is licensed to practice in Pennsylvania (license number MD037791L) 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 1861490310.
Physician's Profile
Full Name | Dr Charles M Manganiello |
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Gender | Male |
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Speciality | General Practice |
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Location | 605 Main St, Duryea, Pennsylvania |
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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: 1861490310
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 03/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628157187
- Enrollment ID: I20091201000541
Medical Identifiers
Medical identifiers for Dr Charles M Manganiello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861490310 | NPI | - | NPPES |
0013919460001 | Medicaid | PA | |
001216 | Other | PA | FIRST PRIORITY HEALTH |
024946 | Other | PA | FIRST PRIORITY LIFE INS C |
020338000 | Other | PA | BLACK LUNG |
024946 | Other | PA | HIGHMARK BLUE SHIELD |
14821 E222 | Other | PA | GEISINGER HEALTH PLAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD037791L (Pennsylvania) | 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. Dr Charles M Manganiello 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 Charles M Manganiello, MD Po Box 1388, Kingston, PA 18704-0379 Ph: (570) 288-8881 | Dr Charles M Manganiello, MD 605 Main St, Duryea, PA 18642-1325 Ph: (570) 457-1110 |
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