Mycal L Mansfield, MD | |
104 Nicholas Pl, Avilla, IN 46710-0069 | |
(260) 897-3308 | |
(260) 897-3650 |
Full Name | Mycal L Mansfield |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 104 Nicholas Pl, Avilla, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174730071 | NPI | - | NPPES |
000000656884 | Other | IN | ANTHEM |
200950300 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01067081A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Noble Hospital | Kendallville, IN | Hospital |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Dekalb Health | Auburn, IN | Hospital |
Parkview Lagrange Hospital | Lagrange, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Health System Inc | 2163336967 | 1192 |
Entity Name | Parkview Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
---|---|
Mycal L Mansfield, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: (260) 266-6013 | Mycal L Mansfield, MD 104 Nicholas Pl, Avilla, IN 46710-0069 Ph: (260) 897-3308 |
Gerald G. Warrener, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Nicholas Pl, Avilla, IN 46710 Phone: 260-897-2520 Fax: 260-897-3650 | |
Phillip W. Corbin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Nicholas Pl, Avilla, IN 46710 Phone: 260-897-3308 Fax: 260-897-3650 | |
James D. Chandler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Baum Street, Avilla, IN 46710 Phone: 260-897-3556 Fax: 260-897-3650 | |
Lisa A. Lane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Baum Street, Avilla, IN 46710 Phone: 260-897-3349 Fax: 260-897-3650 |