Dr Joshua Caleb Mandrell, MD is a medicare enrolled "Dermatology" physician in Ruston, Louisiana. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Green Clinic Llc and his current practice location is
1200 S Farmerville St, Ruston, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 255-3690.
Dr Joshua Caleb Mandrell is licensed to practice in Louisiana (license number MD.204800) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770781650.
Physician's Profile
| Full Name | Dr Joshua Caleb Mandrell |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 1200 S Farmerville St, Ruston, Louisiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Joshua Caleb Mandrell graduated from medical school in 2011
NPI Data:
- NPI Number: 1770781650
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 08/31/2011
Medicare PECOS Information:
- PECOS PAC ID: 0648440107
- Enrollment ID: I20110819000431
Medical Identifiers
Medical identifiers for Dr Joshua Caleb Mandrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770781650 | NPI | - | NPPES |
| 4Q4097387 | Other | LA | MEDICARE |
| 2158571 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MD.204800 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Green Clinic Llc | 4789668831 | 50 |
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. Dr Joshua Caleb Mandrell allows following entities to bill medicare on his behalf.
| Entity Name | Green Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831178755
PECOS PAC ID: 4789668831
Enrollment ID: O20040616000177 |
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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 Joshua Caleb Mandrell 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 |
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Dr Joshua Caleb Mandrell, MD
1200 S Farmerville St,
Ruston, LA 71270-5941
Ph: (318) 255-3690 | Dr Joshua Caleb Mandrell, MD
1200 S Farmerville St,
Ruston, LA 71270-5941
Ph: (318) 255-3690 |
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