Vivek K Manchanda, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in O Fallon, Missouri. His current practice location is
4122 Keaton Crossing Blvd, Suite 102, O Fallon, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 329-9077.
Vivek K Manchanda is licensed to practice in Missouri (license number 2006017511) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083729941.
Physician's Profile
Full Name | Vivek K Manchanda |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 4122 Keaton Crossing Blvd, O Fallon, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Vivek K Manchanda attended and graduated from in
NPI Data:
- NPI Number: 1083729941
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 04/26/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Vivek K Manchanda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083729941 | NPI | - | NPPES |
431560263 | Other | MO | TRICARE WEST |
P01433382 | Other | MO | RAILROAD MEDICARE PROVIDER PTAN |
7233350001 | Other | MO | NORIDIAN , MEDICARE DME |
P00836305 | Other | | RAILROAD MEDICARE |
1083729941 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 2006017511 (Missouri) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 2006017511 (Missouri) | Primary |
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. Vivek K Manchanda 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 |
Vivek K Manchanda, MD 4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368-8218 Ph: (636) 329-9077 | Vivek K Manchanda, MD 4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368-8218 Ph: (636) 329-9077 |
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