Carolina Marie Manceaux, PA-C - Medicare Physician Assistant in Valdosta, GA

Carolina Marie Manceaux, PA-C is a medicare enrolled "Physician Assistant" in Valdosta, Georgia. Her current practice location is 2409 N Patterson St, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 259-4369.

Carolina Marie Manceaux is licensed to practice in Georgia (license number 11461) 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 1124736319.

Contact Information

Carolina Marie Manceaux, PA-C
2409 N Patterson St,
Valdosta, GA 31602-2512
(229) 259-4369
Not Available



Provider's Profile

Full NameCarolina Marie Manceaux
GenderFemale
SpecialityPhysician Assistant
Location2409 N Patterson St, Valdosta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124736319
  • Provider Enumeration Date: 11/07/2022
  • Last Update Date: 03/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284009432
  • Enrollment ID: I20230331001643

Medical Identifiers

Medical identifiers for Carolina Marie Manceaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124736319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11461 (Georgia)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Carolina Marie Manceaux 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
Carolina Marie Manceaux, PA-C
5323 Harry Hines Blvd,
Dallas, TX 75390-9090

Ph: () -
Carolina Marie Manceaux, PA-C
2409 N Patterson St,
Valdosta, GA 31602-2512

Ph: (229) 259-4369

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› Verified 5 days ago


Physician Assistant Nurses in Valdosta, GA

Chaeli Wisenbaker, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2412 N Oak St, Valdosta, GA 31602
Phone: 229-244-1400    Fax: 229-244-5512
Ashly Mcdaniel, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602
Phone: 229-247-2290    
Mr. Lonas Edward Lewis Ii, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3251 Inner Perimeter Rd Ste B, Valdosta, GA 31602
Phone: 229-259-0006    Fax: 229-259-0803
Dana Woods Simpson, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 201 Woodrow Wilson Dr, Valdosta, GA 31602
Phone: 229-241-0041    Fax: 229-241-0048
Matthew Allan Thomas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2412 N Oak St, Valdosta, GA 31602
Phone: 229-244-1400    Fax: 229-244-5512
Ms. Shonta K Winbush, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 704 Gil Harbin Ind Blvd, Valdosta, GA 31602
Phone: 229-242-9003    Fax: 229-242-0490
Lela Faircloth Allen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3018 N Patterson St, Valdosta, GA 31602
Phone: 229-433-7200    Fax: 229-249-4031

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