Manjula Rani Petchetti, MD in Albemarle, NC

Manjula Rani Petchetti, MD is a medicare enrolled "Pediatrics" physician in Albemarle, North Carolina. Her current practice location is 105 Yadkin St, Suite 303, Albemarle, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 323-5400.

Manjula Rani Petchetti is licensed to practice in North Carolina (license number 2008-00313) 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 1760658447.

Contact Information

	Manjula Rani Petchetti, MD
	105 Yadkin St, Suite 303, Albemarle, NC 28001-3449
	(980) 323-5400
	Not Available

Map and Direction

Physician's Profile

Full Name	Manjula Rani Petchetti
Gender	Female
Speciality	Pediatrics
Location	105 Yadkin St, Albemarle, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760658447
Provider Enumeration Date: 05/02/2008
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 0749584571
Enrollment ID: I20160311001467

Medical Identifiers

Medical identifiers for Manjula Rani Petchetti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760658447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME140645 (Florida)	Secondary
208000000X	Pediatrics	2008-00313 (North Carolina)	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. Manjula Rani Petchetti allows following entities to bill medicare on her behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

Entity Name	Outer Banks Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156

Entity Name	North Carolina Group Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629415914 PECOS PAC ID: 4789827254 Enrollment ID: O20130830000807

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. Manjula Rani Petchetti 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
Manjula Rani Petchetti, MD 105 Yadkin St, Albemarle, NC 28001-3449 Ph: () -	Manjula Rani Petchetti, MD 105 Yadkin St, Suite 303, Albemarle, NC 28001-3449 Ph: (980) 323-5400

Reviews and Comments

Pediatrics Doctors in Albemarle, NC

Dr. Tanya Russo, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Suite 303, Albemarle, NC 28001 Phone: 803-532-2208
Dr. Linda Williamson Lawrence, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 Us Highway 52 North, Suite A, Albemarle, NC 28001 Phone: 704-982-5437
Mr. Lanny Lee Monroe Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Suite 303, Albemarle, NC 28001 Phone: 704-982-2683 Fax: 704-512-4838
Kristina L. Kelly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Ste 303, Albemarle, NC 28001 Phone: 980-323-5400
Lamonica Barnum, Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Suite 303, Albemarle, NC 28001 Phone: 980-323-5400
Dr. Susan Carol Watson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 Us Highway 52 North, Suite A, Albemarle, NC 28001 Phone: 704-982-5437 Fax: 704-982-4843
Elaine M Coats, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Ste 303, Albemarle, NC 28001 Phone: 980-323-5400

Manjula Rani Petchetti, MD - Medicare Pediatrics in Albemarle, NC