Foram Ashwin Mankodi, MBBS is a medicare enrolled "Pediatrics" physician in New Prague, Minnesota. Her current practice location is
301 2nd St Ne, New Prague, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 758-4431.
Foram Ashwin Mankodi is licensed to practice in Minnesota (license number 52828) 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 1073833810.
Physician's Profile
Full Name | Foram Ashwin Mankodi |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 301 2nd St Ne, New Prague, Minnesota |
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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: 1073833810
- Provider Enumeration Date: 06/03/2010
- Last Update Date: 09/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901938034
- Enrollment ID: I20100724000178
Medical Identifiers
Medical identifiers for Foram Ashwin Mankodi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073833810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 52828 (Minnesota) | 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. Foram Ashwin Mankodi allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
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Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
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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. Foram Ashwin Mankodi 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 |
Foram Ashwin Mankodi, MBBS 301 2nd St Ne, New Prague, MN 56071-1709 Ph: (952) 758-4431 | Foram Ashwin Mankodi, MBBS 301 2nd St Ne, New Prague, MN 56071-1709 Ph: (952) 758-4431 |
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