Dr Nicole Lorin Mannis, PSYD is a
Psychologist based in Bascom, Florida. Dr Nicole Lorin Mannis is licensed to practice in Florida (license number 8081) and her current practice location is
4689 Timberlane Rd, Bascom, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 557-7575.
NPI number for Dr Nicole Lorin Mannis is 1588879191 and her current mailing address is 4689 Timberlane Rd, Bascom, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588879191.
Healthcare Provider's Profile
Full Name | Dr Nicole Lorin Mannis |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4689 Timberlane Rd, Bascom, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588879191
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 05/19/2010
Medical Identifiers
Medical identifiers for Dr Nicole Lorin Mannis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588879191 | NPI | - | NPPES |
491469300 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 8081 (Florida) | Primary |
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 Nicole Lorin Mannis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nicole Lorin Mannis, PSYD 4689 Timberlane Rd, Bascom, FL 32423-9425 Ph: (850) 557-7575 | Dr Nicole Lorin Mannis, PSYD 4689 Timberlane Rd, Bascom, FL 32423-9425 Ph: (850) 557-7575 |
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