Diana M Mancuso MD PA
NPI 1366692246ActiveOrganization· Family Medicine· Dothan, AL
Family Medicine in Dothan, Alabama, registered in NPPES in September 2008. The authorized official on file is Diana M. Mancuso, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366692246 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2008 |
| Last updated in NPPES | Mar 9, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 4436 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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