Mrs Martha P Mandujano, PA-C in Salt Lake City, UT

Mrs Martha P Mandujano, PA-C is a medicare enrolled "Physician Assistant" in Salt Lake City, Utah. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Utah Community Physicians Group and her current practice location is 4745 S 3200 W, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 964-6214.

Mrs Martha P Mandujano is licensed to practice in Utah (license number 6028041-1206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356446215.

Contact Information

	Mrs Martha P Mandujano, PA-C
	4745 S 3200 W, Salt Lake City, UT 84118-2822
	(801) 964-6214
	(801) 982-9232

Map and Direction

Provider's Profile

Full Name	Mrs Martha P Mandujano
Gender	Female
Speciality	Physician Assistant
Experience	19 Years
Location	4745 S 3200 W, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Martha P Mandujano graduated from nursing school in 2005

NPI Data:

NPI Number: 1356446215
Provider Enumeration Date: 09/14/2006
Last Update Date: 11/20/2021

Medicare PECOS Information:

PECOS PAC ID: 1456361278
Enrollment ID: I20060425000009

Medical Identifiers

Medical identifiers for Mrs Martha P Mandujano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356446215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	6028041-1206 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Community Physicians Group	9739403569	255

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. Mrs Martha P Mandujano 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
Mrs Martha P Mandujano, PA-C 3536 S 1100 E, Salt Lake City, UT 84106-2451 Ph: (801) 347-3520	Mrs Martha P Mandujano, PA-C 4745 S 3200 W, Salt Lake City, UT 84118-2822 Ph: (801) 964-6214

Reviews and Comments

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Mrs Martha P Mandujano, PA-C - Medicare Physician Assistant in Salt Lake City, UT