Mamata Myneni, - Medicare Diagnostic Radiology in Durham, NC

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Mamata Myneni, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Durham, North Carolina. She went to New York Medical College and graduated in 2007 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Palm Desert Radiology Medical Group Inc, Sutter Bay Medical Foundation, Geisinger Clinic, Radiology Associates Of Macon Pc, Virtual Radiologic Professionals Of California Pa, Mori Bean And Brooks Inc, The Fort Defiance Indian Hospital Board, Incorporation and her current practice location is 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 684-8111.

Mamata Myneni is licensed to practice in California (license number A130515) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043416654.

Contact Information

Mamata Myneni,
2100 Erwin Rd, Banner Good Samaritan Medical Center,
Durham, NC 27705-3941
(919) 684-8111
Not Available

Map and Direction




Physician's Profile

Full NameMamata Myneni
GenderFemale
SpecialityDiagnostic Radiology
Experience17 Years
Location2100 Erwin Rd, Durham, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mamata Myneni attended and graduated from New York Medical College in 2007
  NPI Data:
  • NPI Number: 1043416654
  • Provider Enumeration Date: 06/22/2007
  • Last Update Date: 09/11/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1355505355
  • Enrollment ID: I20140820002124

Medical Identifiers

Medical identifiers for Mamata Myneni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043416654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A130515 (California)Primary
2085R0202XRadiology - Diagnostic Radiology ME125336 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Physicians Regional Medical Center - Pine RidgeNaples, FLHospital
Pottstown HospitalPottstown, PAHospital
South Georgia Medical CenterValdosta, GAHospital
Self Regional HealthcareGreenwood, SCHospital
Gettysburg HospitalGettysburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palm Desert Radiology Medical Group Inc0749173789110
Sutter Bay Medical Foundation42845387782995
Geisinger Clinic53956570012841
Radiology Associates Of Macon Pc711381770165
Virtual Radiologic Professionals Of California Pa771998934248
Mori Bean And Brooks Inc8820077878647
The Fort Defiance Indian Hospital Board, Incorporation0941336697143

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. Mamata Myneni allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NamePalm Desert Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124079868
PECOS PAC ID: 0749173789
Enrollment ID: O20040204000599
Entity NameVirtual Radiologic Professionals Of California Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881792166
PECOS PAC ID: 7719989342
Enrollment ID: O20070209000351
Entity NameSilicon Valley Medical Imaging Inc A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376730358
PECOS PAC ID: 2961592878
Enrollment ID: O20071215000242
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20130603000012
Entity NameElite Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942208319
PECOS PAC ID: 2466496880
Enrollment ID: O20140519000553
Entity NameRadiology Associates Of Macon Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679563035
PECOS PAC ID: 7113817701
Enrollment ID: O20150806010067
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558313023
PECOS PAC ID: 5395657001
Enrollment ID: O20160512002382
Entity NameDonalsonville Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720095805
PECOS PAC ID: 7113919820
Enrollment ID: O20190211002909
Entity NameWest Florida Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396724654
PECOS PAC ID: 0941224612
Enrollment ID: O20190314002544
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20191111002152
Entity NameCentral Georgia Mri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114908522
PECOS PAC ID: 5597752261
Enrollment ID: O20191231002056
Entity NameGeorgia Magnetic Imaging Center Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114900545
PECOS PAC ID: 0042205775
Enrollment ID: O20200108001645
Entity NameGeisinger-hm Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952076119
PECOS PAC ID: 1355676370
Enrollment ID: O20200226002127
Entity NameSouthern Monterey County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1114917564
PECOS PAC ID: 7719883461
Enrollment ID: O20200521000977
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200701001467
Entity NameNorth Georgia Radiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922193044
PECOS PAC ID: 9032103296
Enrollment ID: O20220815002541

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. Mamata Myneni 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 AddressPractice Location Address
Mamata Myneni,
5213 S Alston Ave,
Durham, NC 27713-4430

Ph: (919) 620-8111		Mamata Myneni,
2100 Erwin Rd, Banner Good Samaritan Medical Center,
Durham, NC 27705-3941

Ph: (919) 684-8111

Reviews and Comments


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