Diana M Mancuso Md Pa in Dothan, AL - Medicare Family Medicine

Diana M Mancuso Md Pa is a medicare enrolled primary clinic (Family Medicine) in Dothan, Alabama. The current practice location for Diana M Mancuso Md Pa is 4300 W Main St, Suite 16, Dothan, Alabama. For appointments, you can reach them via phone at (334) 793-4120. The mailing address for Diana M Mancuso Md Pa is 4300 W Main St, Suite 16, Dothan, Alabama and phone number is (334) 793-4120.

Diana M Mancuso Md Pa is licensed to practice in Alabama (license number 4436). The clinic also participates in the medicare program and its NPI number is 1366692246. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 793-4120.

Contact Information

	Diana M Mancuso Md Pa
	4300 W Main St Suite 16 Dothan AL 36305-1054
	(334) 793-4120
	(334) 615-8443

Map and Direction

Primary Care Clinic Profile

Full Name	Diana M Mancuso Md Pa
Speciality	Family Medicine
Location	4300 W Main St, Dothan, Alabama
Authorized Official Name and Position	Diana M Mancuso (PRESIDENT)
Authorized Official Contact	3347934120
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diana M Mancuso Md Pa 4300 W Main St Suite 16 Dothan AL 36305-1054 Ph: (334) 793-4120	Diana M Mancuso Md Pa 4300 W Main St Suite 16 Dothan AL 36305-1054 Ph: (334) 793-4120

NPI Details:

NPI Number	1366692246
Provider Enumeration Date	09/26/2008
Last Update Date	03/09/2009

Medicare PECOS Information:

Medicare PECOS PAC ID	1052476678
Medicare Enrollment ID	O20090216000210

Medical Identifiers

Medical identifiers for Diana M Mancuso Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366692246	NPI	-	NPPES
000000013	Other	AL	MEDICARE PROVIDER NUMBER
000000013	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4436 (Alabama)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Diana M Mancuso Md Pa acts as a billing entity for following providers:

Provider Name	Diana M Mancuso
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1417971037 PECOS PAC ID: 9234294844 Enrollment ID: I20090216000199

Reviews and Comments

Family Medicine in Dothan, AL

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4126 West Main Street, Dothan, AL 36305 Phone: 334-793-2120 Fax: 334-671-2930
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Diana M Mancuso Md Pa - Medicare Primary Care in Dothan, AL