Rachael Lauren Mangaudis, MD in Minneapolis, MN

Rachael Lauren Mangaudis, MD is a medicare enrolled "Internal Medicine" physician in Minneapolis, Minnesota. Her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 365-6777.

Rachael Lauren Mangaudis is licensed to practice in Minnesota (license number 71717) 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 1194229500.

Contact Information

	Rachael Lauren Mangaudis, MD
	2450 Riverside Ave, Minneapolis, MN 55454-1450
	(612) 365-6777
	(614) 355-9010

Map and Direction

Physician's Profile

Full Name	Rachael Lauren Mangaudis
Gender	Female
Speciality	Internal Medicine
Location	2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194229500
Provider Enumeration Date: 03/20/2018
Last Update Date: 07/09/2022

Medicare PECOS Information:

PECOS PAC ID: 1951659085
Enrollment ID: I20220826000993

Medical Identifiers

Medical identifiers for Rachael Lauren Mangaudis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194229500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	71717 (Minnesota)	Secondary
207R00000X	Internal Medicine	71717 (Minnesota)	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. Rachael Lauren Mangaudis allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Rachael Lauren Mangaudis 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
Rachael Lauren Mangaudis, MD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 884-0649	Rachael Lauren Mangaudis, MD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-6777

Reviews and Comments

Internal Medicine Doctors in Minneapolis, MN

Pascal Frino, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183
Dr. Ronald Alexander Reilkoff, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422
Eugenia Shmidt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 507-284-2511
Daniel Tesfaye Kebed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098
Tenzin Yangchen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026
Shelley M Lennox, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St, Suite 700, Minneapolis, MN 55407 Phone: 612-863-9062 Fax: 612-863-9252
Dr. Markus Meyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000

Rachael Lauren Mangaudis, MD - Medicare Internal Medicine in Minneapolis, MN