Mr Colin Kenneth Mandigo, LMSW in Kalamazoo, MI - Medicare Social Worker Provider

Mr Colin Kenneth Mandigo, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Kalamazoo, Michigan. His current practice location is 2615 Stadium Dr, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 343-1651.

Mr Colin Kenneth Mandigo is licensed to practice in Michigan (license number 6801115066) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427619667.

Contact Information

	Mr Colin Kenneth Mandigo, LMSW
	2615 Stadium Dr, Kalamazoo, MI 49008-1654
	(269) 343-1651
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Colin Kenneth Mandigo
Gender	Male
Speciality	Social Worker - Clinical
Location	2615 Stadium Dr, Kalamazoo, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427619667
Provider Enumeration Date: 06/27/2019
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7113382458
Enrollment ID: I20230420001599

Medical Identifiers

Medical identifiers for Mr Colin Kenneth Mandigo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427619667	NPI	-	NPPES
6801115066	Other	MI	LARA BOARD OF SOCIAL WORK MASTERS SOCIAL WORKER LICENSE CLINICAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801115066 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Colin Kenneth Mandigo allows following entities to bill medicare on his behalf.

Entity Name	Community Healing Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649271636 PECOS PAC ID: 8628014750 Enrollment ID: O20050629001033

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. Mr Colin Kenneth Mandigo 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 Address	Practice Location Address
Mr Colin Kenneth Mandigo, LMSW 2615 Stadium Dr, Kalamazoo, MI 49008-1654 Ph: (269) 343-1651	Mr Colin Kenneth Mandigo, LMSW 2615 Stadium Dr, Kalamazoo, MI 49008-1654 Ph: (269) 343-1651

Reviews and Comments

Social Worker in Kalamazoo, MI

Rachael Anne Hart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Stadium Drive, Kalamazoo, MI 49008 Phone: 269-343-1651 Fax: 269-382-7078
Ms. Sandra Karen Watson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1902 Colgrove Ave, #114, Kalamazoo, MI 49048 Phone: 269-343-9568
Veronica Lynn Rothney, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 601 John St Ste M-170, Kalamazoo, MI 49007 Phone: 269-381-5060 Fax: 269-381-1655
Alan Strong, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3125 W Main St, Kalamazoo, MI 49006 Phone: 269-903-6638 Fax: 888-712-9370
Travis B Guerrero, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6120 Stadium Dr Ste 100, Kalamazoo, MI 49009 Phone: 269-245-9455
Mrs. Chalonda Dwyer, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 615 E Crosstown Pkwy, Kalamazoo, MI 49001 Phone: 816-686-5113
Katie Mae Manuel, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641

Mr Colin Kenneth Mandigo, LMSW - Medicare Clinical Social Worker in Kalamazoo, MI