Dr Mohammad Y Mannan, MD | |
940 Parkway Dr, Salyersville, KY 41465-9251 | |
(606) 298-3412 | |
(606) 298-5123 |
Full Name | Dr Mohammad Y Mannan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 940 Parkway Dr, Salyersville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588741904 | NPI | - | NPPES |
64082548 | Medicaid | KY | |
P00197698 | Other | KY | RAILROAD MEDICARE |
000001215568 | Other | KY | CHA PROVIDER ID |
000000334095 | Other | KY | BLUE CROSS BLUE SHIELD |
0933601 | Other | KY | MEDICARE NATIONAL GOVERNMENT SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 38017 (Kentucky) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 38017 (Kentucky) | Secondary |
Entity Name | Big Sandy Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104055805 PECOS PAC ID: 1951211218 Enrollment ID: O20040510000841 |
Entity Name | Mannan Md Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770976631 PECOS PAC ID: 9133446453 Enrollment ID: O20150326000472 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammad Y Mannan, MD 1709 Ky Route 321, Prestonsburg, KY 41653-9097 Ph: (606) 886-8546 | Dr Mohammad Y Mannan, MD 940 Parkway Dr, Salyersville, KY 41465-9251 Ph: (606) 298-3412 |
Baher Alhomsi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 906 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150 | |
Mouhamed A Albaree, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 East Mountain Parkway, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150 |