Dr Staci A Mandrola, MD in Louisville, KY - Medicare Internal Medicine

Dr Staci A Mandrola, MD is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" physician in Louisville, Kentucky. Her current practice location is 7504 Westport Rd, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 693-2681.

Dr Staci A Mandrola is licensed to practice in Kentucky (license number 41139) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912129552.

Contact Information

	Dr Staci A Mandrola, MD
	7504 Westport Rd, Louisville, KY 40222-4108
	(502) 693-2681
	(502) 456-9738

Map and Direction

Physician's Profile

Full Name	Dr Staci A Mandrola
Gender	Female
Speciality	Internal Medicine - Hospice And Palliative Medicine
Location	7504 Westport Rd, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912129552
Provider Enumeration Date: 05/03/2007
Last Update Date: 01/11/2013

Medicare PECOS Information:

PECOS PAC ID: 1759429517
Enrollment ID: I20091116000285

Medical Identifiers

Medical identifiers for Dr Staci A Mandrola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912129552	NPI	-	NPPES
000000642419	Other	KY	ANTHEM
3756448000	Other	KY	PASSPORT ADVANTAGE
7100094260	Medicaid	KY
50026942	Other	KY	PASSPORT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0002X	Internal Medicine - Hospice And Palliative Medicine	41139 (Kentucky)	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. Dr Staci A Mandrola allows following entities to bill medicare on her behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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 Staci A Mandrola 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 Staci A Mandrola, MD 2500 Meadow Rd, Louisville, KY 40205-2220 Ph: (502) 456-9738	Dr Staci A Mandrola, MD 7504 Westport Rd, Louisville, KY 40222-4108 Ph: (502) 693-2681

Reviews and Comments

Internal Medicine Doctors in Louisville, KY

Cindy J Code, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way, Suite 303, Louisville, KY 40207 Phone: 502-896-1880 Fax: 502-896-1887
Dr. Uchenna Loretta Ozor, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St Bldg Suite303, Louisville, KY 40202 Phone: 502-629-5552 Fax: 502-629-3132
Mohamed Hegazi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 S Jackson St, Louisville, KY 40202 Phone: 502-562-4270
Dr. Michael Patrick Krease, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste G58, Louisville, KY 40217 Phone: 502-452-9567
Dr. Ramsey Nasri Nassar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 250, Louisville, KY 40205 Phone: 502-587-9660 Fax: 502-540-5615
Jeanne M Thompson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-8095 Fax: 502-636-8097
Terrence P Donohue, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Poplar Level Rd Ste 101, Louisville, KY 40213 Phone: 502-636-7444 Fax: 502-636-7112

Dr Staci A Mandrola, MD - Medicare Internal Medicine in Louisville, KY