Mamatha Mandava, MD in Shreveport, LA

Mamatha Mandava, MD is a medicare enrolled "Pediatrics" physician in Shreveport, Louisiana. Her current practice location is 1501 Kings Hwy, Department Of Pediatrics, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 675-6076.

Mamatha Mandava is licensed to practice in Louisiana (license number 206428) 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 1346568177.

Contact Information

	Mamatha Mandava, MD
	1501 Kings Hwy, Department Of Pediatrics, Shreveport, LA 71103-4228
	(318) 675-6076
	(318) 675-6059

Map and Direction

Physician's Profile

Full Name	Mamatha Mandava
Gender	Female
Speciality	Pediatrics
Location	1501 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346568177
Provider Enumeration Date: 05/04/2010
Last Update Date: 08/05/2013

Medicare PECOS Information:

PECOS PAC ID: 1052555273
Enrollment ID: I20221129000434

Medical Identifiers

Medical identifiers for Mamatha Mandava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346568177	NPI	-	NPPES
2103351	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	206428 (Louisiana)	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. Mamatha Mandava allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130

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. Mamatha Mandava 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
Mamatha Mandava, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 675-5000	Mamatha Mandava, MD 1501 Kings Hwy, Department Of Pediatrics, Shreveport, LA 71103-4228 Ph: (318) 675-6076

Reviews and Comments

Pediatrics Doctors in Shreveport, LA

Shaheena Anene, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Uday Kumar Chalwadi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Lea Bonifacio Penales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118 Phone: 318-212-5970 Fax: 318-212-5975
Marco Quispe Leveau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000
Amanda Bradshaw Raney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7045 Youree Dr, Shreveport, LA 71105 Phone: 318-798-3763 Fax: 318-797-0645
Martha M Whyte, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-227-4658 Fax: 318-424-6606
Dr. Stephanie Boyd Henson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Fairfield Ave, Suite 201, Shreveport, LA 71101 Phone: 318-848-2810 Fax: 318-848-2815

Mamatha Mandava, MD - Medicare Pediatrics in Shreveport, LA