Dr Prashanth Sirigere Manjunath, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Kingman, Arizona. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Bhsm Rehabilitation Llc, Kingman Healthcare Inc and his current practice location is
3801 Santa Rosa Dr, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 681-8570.
Dr Prashanth Sirigere Manjunath is licensed to practice in Arizona (license number 64661) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629227616.
Physician's Profile
| Full Name | Dr Prashanth Sirigere Manjunath |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 24 Years |
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| Location | 3801 Santa Rosa Dr, Kingman, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Prashanth Sirigere Manjunath graduated from medical school in 2000
NPI Data:
- NPI Number: 1629227616
- Provider Enumeration Date: 09/15/2008
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092966994
- Enrollment ID: I20211119001666
Medical Identifiers
Medical identifiers for Dr Prashanth Sirigere Manjunath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629227616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | M11963 (Idaho) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 64661 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1355 |
| Kingman Healthcare Inc | 6901791367 | 170 |
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 Prashanth Sirigere Manjunath allows following entities to bill medicare on his behalf.
| Entity Name | Kingman Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265423917
PECOS PAC ID: 6901791367
Enrollment ID: O20040216001173 |
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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 Prashanth Sirigere Manjunath 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 |
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Dr Prashanth Sirigere Manjunath, MD
3269 N Stockton Hill Rd,
Kingman, AZ 86409-3619
Ph: (928) 757-2101 | Dr Prashanth Sirigere Manjunath, MD
3801 Santa Rosa Dr,
Kingman, AZ 86401-2311
Ph: (928) 681-8570 |
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