Dr Manisha Surendra Raythatha, MD - Medicare Radiology in Mesa, AZ

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Dr Manisha Surendra Raythatha, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mesa, Arizona. Her current practice location is 6424 E Broadway Rd Ste 101, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 456-9000.

Dr Manisha Surendra Raythatha is licensed to practice in Arizona (license number 55506) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790046399.

Contact Information

Dr Manisha Surendra Raythatha, MD
6424 E Broadway Rd Ste 101,
Mesa, AZ 85206-1750
(480) 456-9000
Not Available

Map and Direction




Physician's Profile

Full NameDr Manisha Surendra Raythatha
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location6424 E Broadway Rd Ste 101, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790046399
  • Provider Enumeration Date: 05/31/2012
  • Last Update Date: 01/31/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951646538
  • Enrollment ID: I20181231001539

Medical Identifiers

Medical identifiers for Dr Manisha Surendra Raythatha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790046399NPI-NPPES
401584MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 55506 (Arizona)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 Manisha Surendra Raythatha allows following entities to bill medicare on her behalf.
Entity NameSouthwest Diagnostic Imaging Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20040507001294
Entity NameAssociated Valley Radiologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932683257
PECOS PAC ID: 8325388499
Enrollment ID: O20190327003225

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 Manisha Surendra Raythatha 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 AddressPractice Location Address
Dr Manisha Surendra Raythatha, MD
2323 W Rose Garden Ln,
Phoenix, AZ 85027-2530

Ph: (602) 521-6252		Dr Manisha Surendra Raythatha, MD
6424 E Broadway Rd Ste 101,
Mesa, AZ 85206-1750

Ph: (480) 456-9000

Reviews and Comments


Radiology Doctors in Mesa, AZ

Asim A. Khwaja, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204
Phone: 480-545-8119    Fax: 480-926-8332
Tobias Schifter, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206
Phone: 480-456-9000    
Stuart B. Cohen, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204
Phone: 480-545-8119    Fax: 480-892-6805
James B. Lyons, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206
Phone: 480-456-9000    
Dr. Kirk D Minkus, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7529 E Broadway Rd Ste 101, Mesa, AZ 85208
Phone: 480-945-4343    Fax: 480-945-4350
Marvin K. Tam, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206
Phone: 480-456-9000    
Brian J. Igel, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204
Phone: 480-545-8119    Fax: 480-892-6805

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.