Periakaruppan Manickam, MD in Danville, PA

Periakaruppan Manickam, MD is a medicare enrolled "Otolaryngology" physician in Danville, Pennsylvania. His current practice location is 100 N Academy Ave, Danville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 271-6114.

Periakaruppan Manickam is licensed to practice in Pennsylvania (license number 390200000X) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609261395.

Contact Information

	Periakaruppan Manickam, MD
	100 N Academy Ave, Danville, PA 17822-9800
	(570) 271-6114
	Not Available

Map and Direction

Physician's Profile

Full Name	Periakaruppan Manickam
Gender	Male
Speciality	Otolaryngology
Location	100 N Academy Ave, Danville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609261395
Provider Enumeration Date: 03/31/2015
Last Update Date: 03/31/2015

Medicare PECOS Information:

PECOS PAC ID: 9032413596
Enrollment ID: I20240417001821

Medical Identifiers

Medical identifiers for Periakaruppan Manickam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609261395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	390200000X (Pennsylvania)	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. Periakaruppan Manickam allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Periakaruppan Manickam 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
Periakaruppan Manickam, MD 420 Ludlow Ave # Lofta, Cincinnati, OH 45220-1955 Ph: (419) 366-3216	Periakaruppan Manickam, MD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6114

Reviews and Comments

Otolaryngology Doctors in Danville, PA

Dr. Thorsen Wayne Haugen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429 Fax: 570-271-6854
Aileen Wertz, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429 Fax: 570-271-6854
Dr. Jeremy Alexander Mock, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429 Fax: 570-271-6854
Linda Gage-white, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429 Fax: 570-271-6854
Jeff Wong, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211
Dr. Joseph Scott Greene, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429
James Barrese, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-5681

Periakaruppan Manickam, MD - Medicare Otolaryngology in Danville, PA