David Victor Mandich, PSYD is a medicare enrolled "Psychologist" provider in Belle, West Virginia. His current practice location is
1 Warrior Way Ste 103, Belle, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 949-3591.
David Victor Mandich is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073028783.
Healthcare Provider's Profile
| Full Name | David Victor Mandich |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1 Warrior Way Ste 103, Belle, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073028783
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 05/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204169527
- Enrollment ID: I20190531000606
Medical Identifiers
Medical identifiers for David Victor Mandich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073028783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | (* (Not Available)) | 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. David Victor Mandich allows following entities to bill medicare on his behalf.
| Entity Name | Cabin Creek Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366495525
PECOS PAC ID: 2466431101
Enrollment ID: O20130905000096 |
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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. David Victor Mandich 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 |
|---|
David Victor Mandich, PSYD
1 Warrior Way Ste 103,
Belle, WV 25015-1356
Ph: (304) 949-3591 | David Victor Mandich, PSYD
1 Warrior Way Ste 103,
Belle, WV 25015-1356
Ph: (304) 949-3591 |
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