Manogna Nookathota, MD | |
405 W Jackson St, Carbondale, IL 62901-1462 | |
(618) 549-0721 | |
(618) 529-0479 |
Full Name | Manogna Nookathota |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 405 W Jackson St, Carbondale, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538575097 | NPI | - | NPPES |
214881 | Other | IL | MULTISPECIALTY GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7329 (Nebraska) | Secondary |
208M00000X | Hospitalist | 036143222 (Illinois) | Secondary |
207R00000X | Internal Medicine | MD2022-0086 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presbyterian Hospital | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Manogna Nookathota, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 | Manogna Nookathota, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
Melissa Andrea Martinez Mateo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Stuart Kent Lankford, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823 | |
Dr. Anil N Parikh, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Nathaniel Clark, P.A. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Is-haq Malik, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Arslan Mirza, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Motaz R Wraikat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |