Jessica R Mandziara, in Ferndale, MI - Medicare Registered Nurse

Jessica R Mandziara, is a medicare enrolled "Registered Nurse" in Ferndale, Michigan. Her current practice location is 466 Pearson St, Ferndale, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 752-3476.

Jessica R Mandziara is licensed to practice in Michigan (license number 4704321864) 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 1386303196.

Contact Information

	Jessica R Mandziara,
	466 Pearson St, Ferndale, MI 48220-3308
	(734) 752-3476
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica R Mandziara
Gender	Female
Speciality	Registered Nurse
Location	466 Pearson St, Ferndale, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386303196
Provider Enumeration Date: 12/09/2021
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5698154904
Enrollment ID: I20220616001592

Medical Identifiers

Medical identifiers for Jessica R Mandziara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386303196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704321864 (Michigan)	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. Jessica R Mandziara allows following entities to bill medicare on her behalf.

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. Jessica R Mandziara 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
Jessica R Mandziara, 466 Pearson St, Ferndale, MI 48220-3308 Ph: (734) 752-3476	Jessica R Mandziara, 466 Pearson St, Ferndale, MI 48220-3308 Ph: (734) 752-3476

Reviews and Comments

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Kimberly Mcmullen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 430 W 9 Mile Rd Apt 202, Ferndale, MI 48220 Phone: 248-875-7887
Nonye Adrian Amadi, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10300 W 8 Mile Rd, Ferndale, MI 48220 Phone: 248-398-3200

Jessica R Mandziara, - Medicare Registered Nurse in Ferndale, MI