Dr Koti R Mannem, MD in Green Bay, WI

Dr Koti R Mannem, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Green Bay, Wisconsin. He graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice County Of Brown and his current practice location is 3150 Gershwin Drive, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 391-4700.

Dr Koti R Mannem is licensed to practice in Wisconsin (license number 24001) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720188717.

Contact Information

	Dr Koti R Mannem, MD
	3150 Gershwin Drive, Green Bay, WI 54311-5859
	(920) 391-4700
	(920) 391-4870

Map and Direction

Physician's Profile

Full Name	Dr Koti R Mannem
Gender	Male
Speciality	Psychiatry
Experience	50 Years
Location	3150 Gershwin Drive, Green Bay, Wisconsin
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Koti R Mannem graduated from medical school in 1974

NPI Data:

NPI Number: 1720188717
Provider Enumeration Date: 09/22/2006
Last Update Date: 03/25/2013

Medicare PECOS Information:

PECOS PAC ID: 7911964200
Enrollment ID: I20041218000041

Medical Identifiers

Medical identifiers for Dr Koti R Mannem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720188717	NPI	-	NPPES
1720188717	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	24001 (Wisconsin)	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. Dr Koti R Mannem allows following entities to bill medicare on his behalf.

Entity Name	Aurora Counseling Centers Employee Support Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437240868 PECOS PAC ID: 2264338391 Enrollment ID: O20031210000266

Entity Name	Counseling & Development Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760524854 PECOS PAC ID: 6800826488 Enrollment ID: O20050813000111

Entity Name	The Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215985403 PECOS PAC ID: 9436223062 Enrollment ID: O20080801000081

Entity Name	County Of Brown
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942305065 PECOS PAC ID: 1355435900 Enrollment ID: O20100524000844

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 Koti R Mannem 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 Koti R Mannem, MD 3150 Gershwin Drive, Green Bay, WI 54311-5859 Ph: (920) 391-4700	Dr Koti R Mannem, MD 3150 Gershwin Drive, Green Bay, WI 54311-5859 Ph: (920) 391-4700

Reviews and Comments

Psychiatry & Neurology Doctors in Green Bay, WI

Dr. Emily R Rademacher, D.O., M.B.A. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-437-0533
Dr. George D Soncrant, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Riverside Dr, Suite 180, Green Bay, WI 54301 Phone: 920-632-7040 Fax: 920-632-7262
Dr. Aubree Rae Bruhnding, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave Ste 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114
John Christopher Charles, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073
Dr. David K Kaufman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave, Suite 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114
Dr. Anne Marie Wannamaker, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-431-0333
Kevin Michael Hansen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-265-9687

Dr Koti R Mannem, MD - Medicare Psychiatry in Green Bay, WI