Lydia Maria Mancilla, is a
Case Manager/care Coordinator based in Tigard, Oregon. Lydia Maria Mancilla is licensed to practice in * (Not Available) (license number ) and her current practice location is
8915 Sw Center St, Tigard, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 726-3690.
NPI number for Lydia Maria Mancilla is 1275198376 and her current mailing address is 8915 Sw Center St, Tigard, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275198376.
Healthcare Provider's Profile
Full Name | Lydia Maria Mancilla |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 8915 Sw Center St, Tigard, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275198376
- Provider Enumeration Date: 05/03/2019
- Last Update Date: 12/14/2019
Medical Identifiers
Medical identifiers for Lydia Maria Mancilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275198376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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. Lydia Maria Mancilla 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 |
Lydia Maria Mancilla, 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3690 | Lydia Maria Mancilla, 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3690 |
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