MEDICARE: DEVIN A MCMANUS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	78171	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00057923	OTHER	MA	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0416523533	OTHER	MA	STANDARD TAX ID NUMBER
3	060222	OTHER	MA	TUFTS HEALTH PLAN
4	0401215	OTHER	MA	UNITED HEALTHCARE
5	6745	OTHER	MA	HARVARD PILGRIM
6	M18252	OTHER	MA	BLUE CROSS/BLUE SHIELD
7	3290902	OTHER	MA	AETNA

General Provider Information

NPI Number	:	1548263486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN A MCMANUS M.D.

Provider Business Mailing Address
First Line	:	10 BRAMBLEBUSH PARK
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	02540-2325
Country	:	US
Telephone Number	:	508-548-1446
Fax Number	:	508-548-1274

Provider Business Practice Location Address
First Line	:	10 BRAMBLEBUSH PARK
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	02540-2325
Country	:	US
Telephone Number	:	508-548-1446
Fax Number	:	508-548-1274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/09/2007

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Directions to “ DEVIN A MCMANUS M.D.” Practice Location

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