Tatiana Marie Mamantov, MD - Medicare Emergency Medicine in Castro Valley, CA

Tatiana Marie Mamantov, MD is a medicare enrolled "Emergency Medicine" physician in Castro Valley, California. She went to East Tennessee State University Quillen College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Sharp Rees-stealy Medical Group Inc and her current practice location is 20103 Lake Chabot Rd, Castro Valley, California. You can reach out to her office (for appointments etc.) via phone at (209) 342-2300.

Tatiana Marie Mamantov is licensed to practice in California (license number G85179) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629069059.

Contact Information

Tatiana Marie Mamantov, MD
20103 Lake Chabot Rd,
Castro Valley, CA 94546-5341
(209) 342-2300
(209) 524-4240



Physician's Profile

Full NameTatiana Marie Mamantov
GenderFemale
SpecialityEmergency Medicine
Experience40 Years
Location20103 Lake Chabot Rd, Castro Valley, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tatiana Marie Mamantov attended and graduated from East Tennessee State University Quillen College Of Medicine in 1984
  NPI Data:
  • NPI Number: 1629069059
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 07/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6608833975
  • Enrollment ID: I20041217000787

Medical Identifiers

Medical identifiers for Tatiana Marie Mamantov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629069059NPI-NPPES
00G851790OtherCABLUE SHIELD
00G851790MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine G85179 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sharp Rees-stealy Medical Group Inc8628972759772

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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. Tatiana Marie Mamantov allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154396208
PECOS PAC ID: 5496668410
Enrollment ID: O20031113000632

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Entity NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996

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Entity NameEden Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891786240
PECOS PAC ID: 7012802333
Enrollment ID: O20040217000163

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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. Tatiana Marie Mamantov 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 AddressPractice Location Address
Tatiana Marie Mamantov, MD
4301 Northstar Way,
Modesto, CA 95356-9262

Ph: (209) 342-2300
Tatiana Marie Mamantov, MD
20103 Lake Chabot Rd,
Castro Valley, CA 94546-5341

Ph: (209) 342-2300

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Running for re-election, Sen. Barbara Boxer, D-Calif., Thursday charged that Republican Carly Fiorina's stance on abortion is "'a direct threat' to the rights of women in California and the nation ...," the Los Angeles Times reports. "'Overturning Roe vs. Wade would turn women and doctors into criminals,' Boxer said. 'The most extreme anti-choice groups have found their candidate in Carly Fiorina.'

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If you open your office door one morning and there is a new package waiting on your desk, that's what you will notice most in the otherwise unchanged room.

Read more News

› Verified 1 days ago


Emergency Medicine Doctors in Castro Valley, CA

Evan Taylor Wythe, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546
Phone: 209-342-2300    Fax: 209-524-4240
Thomas Eales, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546
Phone: 510-727-3320    Fax: 317-963-5394
Adria Simon, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546
Phone: 510-727-3015    Fax: 626-623-1227
Dr. Rahim James Sharifi, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20101 Lake Chabot Rd, Castro Valley, CA 94546
Phone: 510-247-6300    
Ralph James Damato, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546
Phone: 209-342-2300    Fax: 209-524-4240
Rochelle Ana Eggleston Philapil, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546
Phone: 209-342-2300    Fax: 209-524-4240
Dr. Nathalie Coeller, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546
Phone: 510-714-8520    

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