Dr Sebastian R Mangiamele, MD is a medicare enrolled "General Practice" physician in Bemidji, Minnesota. His current practice location is
3801 Bemidji Ave N, Ste 6, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 333-5694.
Dr Sebastian R Mangiamele is licensed to practice in Minnesota (license number 43323) 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 1710944475.
Physician's Profile
Full Name | Dr Sebastian R Mangiamele |
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Gender | Male |
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Speciality | General Practice |
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Location | 3801 Bemidji Ave N, Bemidji, Minnesota |
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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: 1710944475
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 08/12/2010
Medicare PECOS Information:
- PECOS PAC ID: 1850343161
- Enrollment ID: I20180917000497
Medical Identifiers
Medical identifiers for Dr Sebastian R Mangiamele such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710944475 | NPI | - | NPPES |
640127900 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 43323 (Minnesota) | Primary |
208100000X | Physical Medicine & Rehabilitation | 43323 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 43323 (Minnesota) | Secondary |
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 Sebastian R Mangiamele 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 Sebastian R Mangiamele, MD 3801 Bemidji Ave N, Ste 6, Bemidji, MN 56601-4364 Ph: (218) 333-5694 | Dr Sebastian R Mangiamele, MD 3801 Bemidji Ave N, Ste 6, Bemidji, MN 56601-4364 Ph: (218) 333-5694 |
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