Dr Jeremy Joel Mandia, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Fort Eisenhower, Georgia. His current practice location is
300 W Hospital Rd Bldg 319, Fort Eisenhower, Georgia. You can reach out to his office (for appointments etc.) via phone at
(845) 702-7358.
Dr Jeremy Joel Mandia is licensed to practice in New York (license number 279197) 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 1710326418.
Physician's Profile
Full Name | Dr Jeremy Joel Mandia |
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Gender | Male |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | 300 W Hospital Rd Bldg 319, Fort Eisenhower, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710326418
- Provider Enumeration Date: 06/17/2013
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103161088
- Enrollment ID: I20210301002265
Medical Identifiers
Medical identifiers for Dr Jeremy Joel Mandia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710326418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 279197 (New York) | Secondary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 279197 (New York) | 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 Jeremy Joel Mandia 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 |
Dr Jeremy Joel Mandia, MD 300 W Hospital Rd Bldg 319, Fort Eisenhower, GA 30905-5741 Ph: (706) 787-1190 | Dr Jeremy Joel Mandia, MD 300 W Hospital Rd Bldg 319, Fort Eisenhower, GA 30905-5741 Ph: (845) 702-7358 |
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