Dr Al'tiana Manning, OD is a medicare enrolled "Optometrist" provider in Lake Success, New York. Her current practice location is
1979 Marcus Avenue Suite 206, Lake Success, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 243-8611.
Dr Al'tiana Manning is licensed to practice in Tennessee (license number 3609) 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 1821615873.
Healthcare Provider's Profile
| Full Name | Dr Al'tiana Manning |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1979 Marcus Avenue Suite 206, Lake Success, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821615873
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 06/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092103408
- Enrollment ID: I20211103001859
Medical Identifiers
Medical identifiers for Dr Al'tiana Manning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821615873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4901005570 (Michigan) | Secondary |
| 152W00000X | Optometrist | 003213 (Connecticut) | Secondary |
| 152W00000X | Optometrist | TUV009456 (New York) | Secondary |
| 152W00000X | Optometrist | 1045 (New Hampshire) | Secondary |
| 152W00000X | Optometrist | 27OA00708500 (New Jersey) | Secondary |
| 152W00000X | Optometrist | OPT003489 (Georgia) | Secondary |
| 152W00000X | Optometrist | 3979-35 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 3609 (Tennessee) | 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. Dr Al'tiana Manning allows following entities to bill medicare on her behalf.
| Provider Name | Wisconsin Vision Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134179427
PECOS PAC ID: 5698676518
Enrollment ID: O20040220000706 |
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| Provider Name | Myeyedr Optometry Of Wisconsin Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164992996
PECOS PAC ID: 5890033716
Enrollment ID: O20190219000001 |
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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. Dr Al'tiana Manning 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 |
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Dr Al'tiana Manning, OD
Po Box 3076,
West Memphis, AR 72303-3076
Ph: (912) 713-6015 | Dr Al'tiana Manning, OD
1979 Marcus Avenue Suite 206,
Lake Success, NY 11042
Ph: (516) 243-8611 |
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