Amanda Mancilla, in Glendale, AZ - Medicare Pediatrics

Amanda Mancilla, is a medicare enrolled "Pediatrics" physician in Glendale, Arizona. Her current practice location is 20325 N 51st Ave Ste 116, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-1010.

Amanda Mancilla is licensed to practice in Arizona (license number 70186) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417452632.

Contact Information

	Amanda Mancilla,
	20325 N 51st Ave Ste 116, Glendale, AZ 85308-5665
	(602) 933-1010
	(602) 933-5395

Map and Direction

Physician's Profile

Full Name	Amanda Mancilla
Gender	Female
Speciality	Pediatrics
Location	20325 N 51st Ave Ste 116, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417452632
Provider Enumeration Date: 03/28/2018
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2163768110
Enrollment ID: I20210726003481

Medical Identifiers

Medical identifiers for Amanda Mancilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417452632	NPI	-	NPPES
187918	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D94210 (Maryland)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	70186 (Arizona)	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. Amanda Mancilla allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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. Amanda Mancilla 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
Amanda Mancilla, 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124	Amanda Mancilla, 20325 N 51st Ave Ste 116, Glendale, AZ 85308-5665 Ph: (602) 933-1010

Reviews and Comments

Pediatrics Doctors in Glendale, AZ

Dr. Tich-hao Mach, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6114 N 59th Ave Ste 4, Glendale, AZ 85301 Phone: 623-937-8643
Susanna Emilia Nickel, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3575 W Deer Valley Rd, Glendale, AZ 85308 Phone: 480-585-5200
Amit Jain, M.D., M.B.A. Pediatrics Medicare: Medicare Enrolled Practice Location: 6206 W Bell Rd, Glendale, AZ 85308 Phone: 480-882-4545 Fax: 602-863-5851
Michael I Berman, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18700 N 64th Dr, Ste 301, Glendale, AZ 85308 Phone: 623-561-5437 Fax: 623-561-9320
Ms. Carmen M Rivera, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7734 N 59th Ave, Glendale, AZ 85301 Phone: 602-569-3999 Fax: 602-569-3887
Mr. Jason Daniel Vargas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 W Union Hills Dr, Suite D-100, Glendale, AZ 85308 Phone: 602-978-2500 Fax: 602-938-2198
Kay Frances Navarrette, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 W Union Hills Dr, Suite D100, Glendale, AZ 85308 Phone: 602-978-2500 Fax: 602-938-2198

Amanda Mancilla, - Medicare Pediatrics in Glendale, AZ