Theodore Bergen Manny, MD in Lubbock, TX

Theodore Bergen Manny, MD is a medicare enrolled "Anesthesiology" physician in Lubbock, Texas. His current practice location is 3420 22nd Place, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 725-1800.

Theodore Bergen Manny is licensed to practice in North Carolina (license number 2014-01937) 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 1073578878.

Contact Information

	Theodore Bergen Manny, MD
	3420 22nd Place, Lubbock, TX 79410
	(806) 725-1800
	(806) 723-6532

Map and Direction

Physician's Profile

Full Name	Theodore Bergen Manny
Gender	Male
Speciality	Anesthesiology
Location	3420 22nd Place, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073578878
Provider Enumeration Date: 04/18/2006
Last Update Date: 08/10/2015

Medicare PECOS Information:

PECOS PAC ID: 7113092206
Enrollment ID: I20080825000568

Medical Identifiers

Medical identifiers for Theodore Bergen Manny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073578878	NPI	-	NPPES
157713201	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	F9104 (Texas)	Secondary
207L00000X	Anesthesiology	2014-01937 (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. Theodore Bergen Manny allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

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. Theodore Bergen Manny 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
Theodore Bergen Manny, MD 3420 22nd Place, Lubbock, TX 79410 Ph: (806) 725-7800	Theodore Bergen Manny, MD 3420 22nd Place, Lubbock, TX 79410 Ph: (806) 725-1800

Reviews and Comments

Anesthesiology Doctors in Lubbock, TX

Michael Lynn Strickland, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5828 Erskine St, Lubbock, TX 79416 Phone: 806-795-2726 Fax: 806-795-2726
Dr. Byron L Brown, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3508 22nd Pl, Lubbock, TX 79410 Phone: 806-799-1485 Fax: 806-799-8132
Dr. Raymond Michael Danchak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4601 50th St, Suite 112, Lubbock, TX 79414 Phone: 806-785-8000 Fax: 806-792-7174
Suzanne N. Northcutt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Ste 1c282, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984
Rajinder Sabar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325
Dr. William Jewell Davis, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6202 Iola Ave Ste 101, Lubbock, TX 79424 Phone: 806-799-2093 Fax: 806-783-0277
Dr. Corey Jay Haggard, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4640 N Loop 289, Lubbock, TX 79416 Phone: 806-794-1223 Fax: 806-589-0216

Theodore Bergen Manny, MD - Medicare Anesthesiology in Lubbock, TX