Dr Patricia Estrada Manfredonia, MD is a medicare enrolled "Pediatrics" physician in South Amboy, New Jersey. Her current practice location is
3 Athens Ave, South Amboy, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 952-8400.
Dr Patricia Estrada Manfredonia is licensed to practice in New Jersey (license number MA077165) 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 1639154180.
Physician's Profile
Full Name | Dr Patricia Estrada Manfredonia |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 3 Athens Ave, South Amboy, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639154180
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 07/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 3375868441
- Enrollment ID: I20150212000276
Medical Identifiers
Medical identifiers for Dr Patricia Estrada Manfredonia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639154180 | NPI | - | NPPES |
0040606 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MA077165 (New Jersey) | Primary |
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 Patricia Estrada Manfredonia 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 Patricia Estrada Manfredonia, MD 3 Athens Ave, South Amboy, NJ 08879-2401 Ph: (732) 952-8400 | Dr Patricia Estrada Manfredonia, MD 3 Athens Ave, South Amboy, NJ 08879-2401 Ph: (732) 952-8400 |
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