Mrs Shanti Kay Manzano, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Koloa, Hawaii. Her current practice location is
5476 Koloa Road, 2f, Koloa, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 639-7255.
Mrs Shanti Kay Manzano is licensed to practice in Hawaii (license number 3860) 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 1043549637.
Healthcare Provider's Profile
Full Name | Mrs Shanti Kay Manzano |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5476 Koloa Road, 2f, Koloa, Hawaii |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043549637
- Provider Enumeration Date: 12/10/2009
- Last Update Date: 03/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 1355566555
- Enrollment ID: I20140701002644
Medical Identifiers
Medical identifiers for Mrs Shanti Kay Manzano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043549637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 23542 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 3860 (Hawaii) | 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. Mrs Shanti Kay Manzano 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 |
Mrs Shanti Kay Manzano, MSW, LCSW Po Box 1075, Koloa, HI 96756-1075 Ph: (808) 639-7255 | Mrs Shanti Kay Manzano, MSW, LCSW 5476 Koloa Road, 2f, Koloa, HI 96756 Ph: (808) 639-7255 |
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