Anton Mandrov, MD - Medicare Pediatrics in Williston, ND

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Anton Mandrov, MD is a medicare enrolled "Pediatrics" physician in Williston, North Dakota. His current practice location is 1301 15th Ave W, Williston, North Dakota. You can reach out to his office (for appointments etc.) via phone at (440) 941-2840.

Anton Mandrov is licensed to practice in North Dakota (license number 15577) 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 1639599863.

Contact Information

Anton Mandrov, MD
1301 15th Ave W,
Williston, ND 58801-3821
(440) 941-2840
Not Available

Map and Direction




Physician's Profile

Full NameAnton Mandrov
GenderMale
SpecialityPediatrics
Location1301 15th Ave W, Williston, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639599863
  • Provider Enumeration Date: 04/28/2014
  • Last Update Date: 11/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3173863800
  • Enrollment ID: I20190315002584

Medical Identifiers

Medical identifiers for Anton Mandrov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639599863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 15577 (North Dakota)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. Anton Mandrov allows following entities to bill medicare on his behalf.
Entity NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336
Entity NameMercy Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1902824576
PECOS PAC ID: 7416851381
Enrollment ID: O20080307000316

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. Anton Mandrov 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 AddressPractice Location Address
Anton Mandrov, MD
1301 15th Ave W,
Williston, ND 58801-3821

Ph: (701) 774-7400		Anton Mandrov, MD
1301 15th Ave W,
Williston, ND 58801-3821

Ph: (440) 941-2840

Reviews and Comments


Pediatrics Doctors in Williston, ND

Jane A Grorud, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1213 15th Ave W, Williston, ND 58801
Phone: 701-572-7651    Fax: 701-774-7479
Sheila Ponzio, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.