Michael R. Manes, M.D.
Individual provider Active NPI Internal Medicine Physician · Cleveland, AL
NPI 1992764039 · NPPES record last updated Jul 12, 2019
Key facts
- NPI
- 1992764039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 11937 (AL)
- Practice address
- 6945 County Highway 1
Cleveland, AL 35049-3927 - Phone
- (205) 625-3367
- Fax
- (205) 274-0857
- NPI assigned
- Mar 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110418000837 | AL | Practitioner - Family Practice | 7719074483 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11937 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent'S Blount | Current |
Accepting new patients | |
| St Vincents Blount | Current | Accepting new patients | |
| Vincentian Physician Services LLC | Internal Medicine | Current |
Accepting new patients |
| St. Vincent'S Blount | Current |
Accepting new patients | |
| St. Vincent'S Blount | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
6945 County Highway 1
#232
Cleveland, AL 35049
Phone (205) 625-3052
6945 County Highway 1
Cleveland, AL 35049
Phone (205) 625-3367
29829 State Highway 79
Locust Fork, AL 35097
Phone (205) 681-8115
150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000
150 Gilbreath Dr
#201
Oneonta, AL 35121
Phone (205) 274-8198
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11937 | AL | Yes |
Addresses
Primary practice location
6945 County Highway 1
Cleveland, AL 35049-3927
Mailing address
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 558-3484
Other practice location 1
29829 State Highway 79
Locust Fork, AL 35097
Phone (205) 681-8115
Other providers in Cleveland, AL
- Dripme IV Hydration & Wellness
- Dripme IV Hydration & Wellness
- Eastside Ventures, Inc.
- Gold Stars & Grace, LLC
- Kim Larue
- Traci S Mason
- A G Meighen
- Kristina Hicks Shea
- Shearue Inc
- St. Vincent'S Blount
All providers in Cleveland, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.