Dr Ani Celine Mangold, PHD, LP in Fargo, ND - Medicare Psychologist Provider

Dr Ani Celine Mangold, PHD, LP is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Fargo, North Dakota. Her current practice location is 100 4th St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Dr Ani Celine Mangold is licensed to practice in * (Not Available) (license number ) 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 1033898762.

Contact Information

	Dr Ani Celine Mangold, PHD, LP
	100 4th St S, Fargo, ND 58103-1929
	(701) 234-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ani Celine Mangold
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	100 4th St S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033898762
Provider Enumeration Date: 07/11/2023
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 0345697975
Enrollment ID: I20231103001198

Medical Identifiers

Medical identifiers for Dr Ani Celine Mangold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033898762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Primary
103T00000X	Psychologist	(* (Not Available))	Secondary

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. Dr Ani Celine Mangold allows following entities to bill medicare on her behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Dr Ani Celine Mangold 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
Dr Ani Celine Mangold, PHD, LP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Dr Ani Celine Mangold, PHD, LP 100 4th St S, Fargo, ND 58103-1929 Ph: (701) 234-2000

Reviews and Comments

Psychologist in Fargo, ND

Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014
Jay Robert Phillippi, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071

Dr Ani Celine Mangold, PHD, LP - Medicare Psychologist in Fargo, ND