Nicole Mandacina, | |
19550 E 39th St S Ste 215, Independence, MO 64057-2326 | |
(816) 461-6837 | |
(816) 833-1760 |
Full Name | Nicole Mandacina |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 19550 E 39th St S Ste 215, Independence, Missouri |
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 |
---|---|---|---|
1629621941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2019027103 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Curana Health Of Missouri-kansas Llc | 4789716531 | 73 |
Telemedico Physicians Pulmonary, Pc | 8022423144 | 7 |
Entity Name | Curana Health Of Missouri-kansas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306165337 PECOS PAC ID: 4789716531 Enrollment ID: O20100714001014 |
Entity Name | Telemedico Physicians Pulmonary, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700479987 PECOS PAC ID: 8022423144 Enrollment ID: O20210222002979 |
Entity Name | Ch Specialty Services Mo Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194422253 PECOS PAC ID: 0345614459 Enrollment ID: O20230313000663 |
Mailing Address | Practice Location Address |
---|---|
Nicole Mandacina, 9015 N Myrtle Ave, Kansas City, MO 64156-1216 Ph: () - | Nicole Mandacina, 19550 E 39th St S Ste 215, Independence, MO 64057-2326 Ph: (816) 461-6837 |
Jacqueline K Hopkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Osage St, Suite 200, Independence, MO 64050 Phone: 816-356-2000 Fax: 816-737-1796 | |
Ms. Valerie Mae Monroy, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4731 S Cochise Dr, Suite 100, Independence, MO 64055 Phone: 816-373-1142 Fax: 816-373-9222 | |
Kara Linn Perdue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19045 E Valley View Pkwy Ste G, Independence, MO 64055 Phone: 816-398-7171 | |
Tara M Lea, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19550 E 39th St S Ste 200, Independence, MO 64057 Phone: 816-833-0466 Fax: 816-833-4155 | |
Mrs. Jill Elizabeth Wiese, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19600 E 39th St S, Attn: Nicu, Independence, MO 64057 Phone: 816-698-7340 | |
Katelynn R Crawford, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 | |
Paige Nicole Huffman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14310 E 42nd St S Ste 600, Independence, MO 64055 Phone: 816-333-9200 |