Manogna Puchhalapalli, PA-C - Medicare Physician Assistant in Kennesaw, GA

Manogna Puchhalapalli, PA-C is a medicare enrolled "Physician Assistant" in Kennesaw, Georgia. Her current practice location is 4225 Wade Green Rd Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 239-1199.

Manogna Puchhalapalli is licensed to practice in * (Not Available) (license number ) 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 1144904285.

Contact Information

Manogna Puchhalapalli, PA-C
4225 Wade Green Rd Nw,
Kennesaw, GA 30144-1244
(470) 239-1199
Not Available



Provider's Profile

Full NameManogna Puchhalapalli
GenderFemale
SpecialityPhysician Assistant
Location4225 Wade Green Rd Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144904285
  • Provider Enumeration Date: 06/09/2023
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375996960
  • Enrollment ID: I20240131000558

Medical Identifiers

Medical identifiers for Manogna Puchhalapalli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144904285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Manogna Puchhalapalli 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
Manogna Puchhalapalli, PA-C
1833 Heirloom Ct,
Marietta, GA 30066-1636

Ph: (773) 680-7669
Manogna Puchhalapalli, PA-C
4225 Wade Green Rd Nw,
Kennesaw, GA 30144-1244

Ph: (470) 239-1199

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Physician Assistant Nurses in Kennesaw, GA

Frankie Elizabeth Davis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 270 Chastain Rd Nw, Kennesaw, GA 30144
Phone: 770-421-8005    Fax: 770-424-5662
Joseph C Reynolds Ii, P.A
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144
Phone: 770-514-5401    
Ms. Nadia Mohammed, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Town Park Comprehensive Medical Cente, Kennesaw, GA 30144
Phone: 770-514-5401    Fax: 617-629-6067
Amy Fowler, PAAA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Miss Tania Rani Kakar, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144
Phone: 706-238-8030    Fax: 706-238-8031
Summer Larae Hill, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1300 Ernest W Barrett Pkwy Nw Ste 260, Kennesaw, GA 30152
Phone: 769-798-6324    

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