Dr Amelita Mandingo, PHD, RDT, ADS, CHT, is a
Case Manager/care Coordinator based in Detroit, Michigan. Dr Amelita Mandingo is licensed to practice in * (Not Available) (license number ) and her current practice location is
11000 W Mcnichols Rd, Suite B2-b4, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 863-5554.
NPI number for Dr Amelita Mandingo is 1689704413 and her current mailing address is 11000 W Mcnichols Rd, Suite B2-b4, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689704413.
Healthcare Provider's Profile
| Full Name | Dr Amelita Mandingo |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 11000 W Mcnichols Rd, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689704413
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Amelita Mandingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689704413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Dr Amelita Mandingo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Amelita Mandingo, PHD, RDT, ADS, CHT,
11000 W Mcnichols Rd, Suite B2-b4,
Detroit, MI 48221-2357
Ph: (313) 863-5554 | Dr Amelita Mandingo, PHD, RDT, ADS, CHT,
11000 W Mcnichols Rd, Suite B2-b4,
Detroit, MI 48221-2357
Ph: (313) 863-5554 |
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