Manoj Venkat Maddali, MD in Stanford, CA - Medicare Internal Medicine

Manoj Venkat Maddali, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Stanford, California. His current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-4000.

Manoj Venkat Maddali is licensed to practice in California (license number A159406) 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 1679963391.

Contact Information

	Manoj Venkat Maddali, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Manoj Venkat Maddali
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679963391
Provider Enumeration Date: 02/02/2015
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 7113349762
Enrollment ID: I20200626002085

Medical Identifiers

Medical identifiers for Manoj Venkat Maddali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679963391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A159406 (California)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	A159406 (California)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	A159406 (California)	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. Manoj Venkat Maddali allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Manoj Venkat Maddali 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
Manoj Venkat Maddali, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Manoj Venkat Maddali, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Internal Medicine Doctors in Stanford, CA

Prista Charuworn, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Alway Build M211, Mc 5187, Stanford, CA 94305 Phone: 650-723-6661
Yu Kuang Lai, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Andrea Lorenze, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Drive, Lane 154, Stanford, CA 94305 Phone: 650-723-6661 Fax: 650-498-6205
Audra Horomanski, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-498-6205
Meghan Brady Marmor, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Lauren Michelle Ulsh, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ann M Chen, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, A149, Mc5202, Stanford, CA 94305 Phone: 650-725-3376 Fax: 650-723-8305

Manoj Venkat Maddali, MD - Medicare Internal Medicine in Stanford, CA