Dr Marcelo J Mantala, MD in Springfield, MO - Medicare Internal Medicine

Dr Marcelo J Mantala, MD is a medicare enrolled "Internal Medicine" physician in Springfield, Missouri. His current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-2600.

Dr Marcelo J Mantala is licensed to practice in Missouri (license number 116600) 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 1710089644.

Contact Information

	Dr Marcelo J Mantala, MD
	1235 E Cherokee St, Springfield, MO 65804-2203
	(417) 820-2600
	(417) 820-2100

Map and Direction

Physician's Profile

Full Name	Dr Marcelo J Mantala
Gender	Male
Speciality	Internal Medicine
Location	1235 E Cherokee St, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710089644
Provider Enumeration Date: 09/01/2006
Last Update Date: 05/07/2013

Medicare PECOS Information:

PECOS PAC ID: 8022110709
Enrollment ID: I20070227000276

Medical Identifiers

Medical identifiers for Dr Marcelo J Mantala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710089644	NPI	-	NPPES
203830617	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	116600 (Missouri)	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 Marcelo J Mantala allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

Entity Name	Select Specialty Hospital Springfield Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215116827 PECOS PAC ID: 9638250764 Enrollment ID: O20100724000047

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 Marcelo J Mantala 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 Marcelo J Mantala, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Dr Marcelo J Mantala, MD 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2600

Reviews and Comments

Internal Medicine Doctors in Springfield, MO

Dr. Mark H. Grimm, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711
Dr. Sridevi Durga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295
Bradley D Wiley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051
Walter S. Trombold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778
Ghulam Jeelani Siddiqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220
Danny R Penick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000
Dr. Anne Marsh Egbert, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001

Dr Marcelo J Mantala, MD - Medicare Internal Medicine in Springfield, MO