Prema Manjunath, MD in Fort Worth, TX - Medicare Psychiatry & Neurology

Prema Manjunath, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fort Worth, Texas. Her current practice location is 855 Montgomery St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 927-3638.

Prema Manjunath is licensed to practice in Texas (license number H3699) 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 1013962745.

Contact Information

	Prema Manjunath, MD
	855 Montgomery St, Fort Worth, TX 76107-2553
	(817) 927-3638
	(817) 923-8769

Map and Direction

Physician's Profile

Full Name	Prema Manjunath
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	855 Montgomery St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013962745
Provider Enumeration Date: 05/23/2006
Last Update Date: 08/09/2016

Medicare PECOS Information:

PECOS PAC ID: 0840200325
Enrollment ID: I20060427000655

Medical Identifiers

Medical identifiers for Prema Manjunath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013962745	NPI	-	NPPES
83702S	Other	TX	BCBS
135013410	Medicaid	TX
P00340949	Other	TX	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084F0202X	Psychiatry & Neurology - Forensic Psychiatry	H3699 (Texas)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	H3699 (Texas)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	H3699 (Texas)	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. Prema Manjunath allows following entities to bill medicare on her behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Prema Manjunath 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
Prema Manjunath, MD Po Box 99335, Fort Worth, TX 76199-0335 Ph: (817) 927-3638	Prema Manjunath, MD 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 927-3638

Reviews and Comments

Psychiatry & Neurology Doctors in Fort Worth, TX

Mandeep Singh Chahil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 713 Grainger St, Fort Worth, TX 76104 Phone: 817-336-3968 Fax: 817-336-3917
Dr. Melissa Pennington, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-3636
Syed Muhammad Ali Imran Bukhari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6200 Overton Ridge Blvd, Fort Worth, TX 76132 Phone: 817-361-1991
Jose Ramon Silvas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769
Ramakrishna Veluri, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5560 Mesa Springs Dr, Fort Worth, TX 76123 Phone: 682-477-3534 Fax: 682-477-3602
Holly Cannon, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2400

Prema Manjunath, MD - Medicare Psychiatry & Neurology in Fort Worth, TX