Amy Nicole Mandeville, in Waupaca, WI - Medicare Family Practice

Amy Nicole Mandeville, is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. She went to University Of New Mexico School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare, Incorporated and her current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 256-3000.

Amy Nicole Mandeville is licensed to practice in Wisconsin (license number 73650) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225478126.

Contact Information

	Amy Nicole Mandeville,
	710 Riverside Dr, Waupaca, WI 54981-1941
	(715) 256-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Amy Nicole Mandeville
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	710 Riverside Dr, Waupaca, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy Nicole Mandeville attended and graduated from University Of New Mexico School Of Medicine in 2013

NPI Data:

NPI Number: 1225478126
Provider Enumeration Date: 06/25/2013
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5294051041
Enrollment ID: I20200929001402

Medical Identifiers

Medical identifiers for Amy Nicole Mandeville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225478126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MRM-1324 (Idaho)	Secondary
207Q00000X	Family Medicine	MD178973 (Oregon)	Secondary
207Q00000X	Family Medicine	73650 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare At Home	Appleton, WI	Home health agency
Thedacare At Home	Appleton, WI	Hospice
Thedacare Medical Center-waupaca	Waupaca, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital
Wi Veterans Hm Olson Hall	King, WI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare, Incorporated	1759294887	509

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. Amy Nicole Mandeville allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Amy Nicole Mandeville 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
Amy Nicole Mandeville, 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000	Amy Nicole Mandeville, 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000

Reviews and Comments

Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD Family Medicine Medicare: Medicare Enrolled Practice Location: N2437 E Miner Dr, Waupaca, WI 54981 Phone: 608-475-0328 Fax: 715-256-5452
Ashley Tardieu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079
Sarah C Durst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 915-756-3079
Dorrie Marie Happ, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 Fax: 715-256-3079
Molly Ann Szymanski, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Patty Kile, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160

Amy Nicole Mandeville, - Medicare Family Practice in Waupaca, WI