Manikyam Mutyala, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Floral Park, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Tjh Medical Services Pc and his current practice location is
276 85th Ave, Floral Park, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 358-1674.
Manikyam Mutyala is licensed to practice in New York (license number 229717-1) 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 1326068198.
Physician's Profile
Full Name | Manikyam Mutyala |
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Gender | Male |
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Speciality | Vascular Surgery |
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Experience | 30 Years |
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Location | 276 85th Ave, Floral Park, New York |
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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. |
Medical Education and Training:
- Manikyam Mutyala graduated from medical school in 1994
NPI Data:
- NPI Number: 1326068198
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 10/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 7810971462
- Enrollment ID: I20040614000546
Medical Identifiers
Medical identifiers for Manikyam Mutyala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326068198 | NPI | - | NPPES |
02559171 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 229717-1 (New York) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 229717-1 (New York) | Primary |
Medical Facilities Affiliation
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. Manikyam Mutyala allows following entities to bill medicare on his behalf.
Entity Name | Tjh Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
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Entity Name | Flushing Hospital & Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415 |
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Entity Name | Mani Vascular Surgery Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558775973 PECOS PAC ID: 5496973042 Enrollment ID: O20140825000492 |
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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. Manikyam Mutyala 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 |
Manikyam Mutyala, MD 276 85th Ave, Floral Park, NY 11001-1205 Ph: (516) 358-1674 | Manikyam Mutyala, MD 276 85th Ave, Floral Park, NY 11001-1205 Ph: (516) 358-1674 |
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