Deepa Manohara, PNP in Los Angeles, CA - Medicare Nurse Practitioner

Deepa Manohara, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Los Angeles, California. Her current practice location is 4650 W Sunset Blvd # 61, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 361-4606.

Deepa Manohara is licensed to practice in California (license number 95024074) 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 1891000501.

Contact Information

	Deepa Manohara, PNP
	4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062
	(323) 361-4606
	(323) 361-1301

Map and Direction

Provider's Profile

Full Name	Deepa Manohara
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4650 W Sunset Blvd # 61, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891000501
Provider Enumeration Date: 08/18/2010
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4880816917
Enrollment ID: I20141105001429

Medical Identifiers

Medical identifiers for Deepa Manohara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891000501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95024074 (California)	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. Deepa Manohara allows following entities to bill medicare on her behalf.

Entity Name	139 Medical Facility P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235301631 PECOS PAC ID: 8325196017 Enrollment ID: O20090507000298

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. Deepa Manohara 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
Deepa Manohara, PNP 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 Ph: (323) 361-4606	Deepa Manohara, PNP 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 Ph: (323) 361-4606

Reviews and Comments

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Deepa Manohara, PNP - Medicare Nurse Practitioner in Los Angeles, CA