Shannice Mabandla, MD in Sevierville, TN - Medicare Obstetrics & Gynecology

Shannice Mabandla, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sevierville, Tennessee. Her current practice location is 740 Middle Creek Rd Ste 200, Sevierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 908-9888.

Shannice Mabandla is licensed to practice in Tennessee (license number 68070) 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 1063066462.

Contact Information

	Shannice Mabandla, MD
	740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056
	(865) 908-9888
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannice Mabandla
Gender	Female
Speciality	Obstetrics & Gynecology
Location	740 Middle Creek Rd Ste 200, Sevierville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063066462
Provider Enumeration Date: 07/25/2019
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2860856309
Enrollment ID: I20230915002656

Medical Identifiers

Medical identifiers for Shannice Mabandla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063066462	NPI	-	NPPES
Q085611	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	68070 (Tennessee)	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. Shannice Mabandla allows following entities to bill medicare on her behalf.

Entity Name	Fort Sanders Perinatal Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003811381 PECOS PAC ID: 3577505536 Enrollment ID: O20050614001362

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. Shannice Mabandla 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
Shannice Mabandla, MD 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 Ph: (865) 908-9888	Shannice Mabandla, MD 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 Ph: (865) 908-9888

Reviews and Comments

Obstetrics & Gynecology Doctors in Sevierville, TN

Dr. Julio C Guerra, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1102 Foxwood Dr, Suite 31, Sevierville, TN 37862 Phone: 865-453-7717 Fax: 865-428-8933
Dr. James M Koerten, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1102 Foxwood Dr, Suite #1, Sevierville, TN 37862 Phone: 865-453-7717 Fax: 865-428-8933
Dr. Richard Lawrence Love, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 740 Middle Creek Rd, Suite 200, Sevierville, TN 37862 Phone: 865-908-9888 Fax: 865-908-8756

Shannice Mabandla, MD - Medicare Obstetrics & Gynecology in Sevierville, TN