Thenu Manikantan


Address: 265 Benton Dr, Suite 105, East Longmeadow, MA 01028-3219

Thenu Manikantan (NPI# 1366432668, PAC ID# 4880764984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.

Physician Overview

Nation Provider ID (NPI) 1366432668
PAC ID by PECOS 4880764984
Professional Enrollment ID I20080602000303
Full Name Thenu Manikantan
Address 265 Benton Dr
Suite 105
East Longmeadow
MA 01028-3219
Gender F
Graduation Year 1993
Primary Specialty PAIN MANAGEMENT
Secondary Specialties ANESTHESIOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220066 MERCY MEDICAL CTR

Other Locations

Address Phone Organization
265 Benton Dr, Suite 105, East Longmeadow, MA 01028-3219

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 265 BENTON DR
SUITE 105
City EAST LONGMEADOW
State MA
Zip 01028-3219

Physicians in the same location

Name Specialty Organization Address
Edward Pacitti Physician Assistant New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
Anika R Opp Harris Physician Assistant New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
Connor Grant Ziegler Orthopedic Surgery New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
Kristen K Ashe Physical Therapy Pioneer Spine and Sports Physicians PC 265 Benton Dr, East Longmeadow, MA 01028-3209
Jennie Garver Orthopedic Surgery New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
James M Freeman Internal Medicine 265 Benton Dr, Suite 106, East Longmeadow, MA 01028-3219
James Vreeland Physician Assistant New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
Mark A Dutille Physician Assistant New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
Martin Joseph Luber Orthopedic Surgery New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
Colin Scott Cooper Orthopedic Surgery New England Orthopedic Surgeons 265 Benton Dr, East Longmeadow, MA 01028-3219
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Physicians in the same zip code

Name Specialty Organization Address
Melissa Verner Clinical Social Worker 280 N Main St, Suite 7, East Longmeadow, MA 01028-1814
Anthony L Sarage Podiatry Western Massachusetts Podiatry Associates, P.C. 264 N Main St, East Longmeadow, MA 01028-1815
Ricardo Mujica Geriatric Psychiatry 264 N Main St, Suite 1a, E Longmeadow, MA 01028-1815
Evan P Cwass Podiatry Western Massachusetts Podiatry Associates, P.C. 264 N Main St, East Longmeadow, MA 01028-1815
Michael Jay Spink Maxillofacial Surgery Facial Cosmetic and Maxillofacial Surgery P.C. 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830
Cynthia A Kennedy Nurse Practitioner Baystate Ob/gyn Group Inc 382 No Main St, Suite 205, E Longmeadow, MA 01028-1830
Larry A Litscher Ophthalmology Andrew S Jusko Md PC 382 N Main St, Suite 101, East Longmeadow, MA 01028-1830
Max Kernizan Oral Surgery Facial Cosmetic and Maxillofacial Surgery P.C. 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830
Christopher M Symolon Optometry Andrew S Jusko Md PC 382 N Main St, Suite 101, East Longmeadow, MA 01028-1830
Steven D Nguyen Maxillofacial Surgery Facial Cosmetic and Maxillofacial Surgery P.C. 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830
Find all physicians in zip 01028

Competitor

Search similar physicians

City EAST LONGMEADOW
Zip Code 01028
Specialty PAIN MANAGEMENT
City + Specialty EAST LONGMEADOW + PAIN MANAGEMENT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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