Kalyan Mantha, MD in Jacksonville, FL - Medicare Emergency Medicine

Kalyan Mantha, MD is a medicare enrolled "Emergency Medicine" physician in Jacksonville, Florida. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Paragon Emergency Services Llc and his current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 308-7300.

Kalyan Mantha is licensed to practice in Florida (license number ME122523) 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 1124232822.

Contact Information

	Kalyan Mantha, MD
	1 Shircliff Way, Jacksonville, FL 32204-4748
	(904) 308-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Kalyan Mantha
Gender	Male
Speciality	Emergency Medicine
Experience	21 Years
Location	1 Shircliff Way, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kalyan Mantha graduated from medical school in 2003

NPI Data:

NPI Number: 1124232822
Provider Enumeration Date: 05/10/2007
Last Update Date: 10/19/2015

Medicare PECOS Information:

PECOS PAC ID: 6901084383
Enrollment ID: I20151123001446

Medical Identifiers

Medical identifiers for Kalyan Mantha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124232822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301086369 (Michigan)	Secondary
207P00000X	Emergency Medicine	ME122523 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Orange Park Medical Center	Orange park, FL	Hospital
Ascension St Vincent's Riverside	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Paragon Emergency Services Llc	8628153087	214

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. Kalyan Mantha allows following entities to bill medicare on his behalf.

Entity Name	Emergency Medical Specialists Of Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203

Entity Name	Paragon Emergency Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198

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. Kalyan Mantha 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
Kalyan Mantha, MD 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300	Kalyan Mantha, MD 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300

Reviews and Comments

Emergency Medicine Doctors in Jacksonville, FL

Andrew Lim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1504 Dunsford Rd, Jacksonville, FL 32207 Phone: 904-253-3734
Jennifer L. Mauzy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Belfort Rd, Jacksonville, FL 32216 Phone: 904-296-3885
Max T Billingsley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Shircliff Way, Emergency Department, Jacksonville, FL 32204 Phone: 904-346-5426 Fax: 904-346-0113
Kenneth Aung-din, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-399-6811 Fax: 904-346-0113
Hannah Thomason Fox, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Daniel R Eraso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-6340 Fax: 904-244-4508
Paul D Lucey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-308-7300 Fax: 904-346-0113

Kalyan Mantha, MD - Medicare Emergency Medicine in Jacksonville, FL