Dr Perry Nicholas Mandanis, MD is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Hampton, Connecticut. Dr Perry Nicholas Mandanis is licensed to practice in Connecticut (license number 042739) and his current practice location is 189 N Bigelow Rd, Hampton, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 455-1119.
NPI number for Dr Perry Nicholas Mandanis is 1104043249 and his current mailing address is 189 N Bigelow Rd, Hampton, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104043249.
Physician's Profile
Full Name | Dr Perry Nicholas Mandanis |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 189 N Bigelow Rd, Hampton, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104043249
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 11/14/2012
Medical Identifiers
Medical identifiers for Dr Perry Nicholas Mandanis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104043249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 042739 (Connecticut) | 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 Perry Nicholas Mandanis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Perry Nicholas Mandanis, MD 189 N Bigelow Rd, Hampton, CT 06247-1408 Ph: (860) 455-1119 | Dr Perry Nicholas Mandanis, MD 189 N Bigelow Rd, Hampton, CT 06247-1408 Ph: (860) 455-1119 |
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