David E Mandelbaum, MD, PHD - Medicare Psychiatry & Neurology in New Haven, CT

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David E Mandelbaum, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in New Haven, Connecticut. His current practice location is 1 Park St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 785-4081.

David E Mandelbaum is licensed to practice in Minnesota (license number 70147) 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 1669408696.

Contact Information

David E Mandelbaum, MD, PHD
1 Park St,
New Haven, CT 06504-8901
(203) 785-4081
(203) 737-7635

Map and Direction




Physician's Profile

Full NameDavid E Mandelbaum
GenderMale
SpecialityPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location1 Park St, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669408696
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 03/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850300484
  • Enrollment ID: I20060411000038

Medical Identifiers

Medical identifiers for David E Mandelbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669408696NPI-NPPES
1669408696MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 151239 (New York)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 151239 (New York)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology MD11065 (Rhode Island)Secondary
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology MD11065 (Rhode Island)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 64335 (Connecticut)Secondary
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology 151239 (New York)Secondary
2084P0005XPsychiatry & Neurology - Neurodevelopmental Disabilities MD11065 (Rhode Island)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 70147 (Minnesota)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 E Mandelbaum allows following entities to bill medicare on his behalf.
Entity NameBrown Neurology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366486102
PECOS PAC ID: 2163312869
Enrollment ID: O20040317000511
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105

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 E Mandelbaum 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 AddressPractice Location Address
David E Mandelbaum, MD, PHD
237 Irving Ave,
Providence, RI 02906-5518

Ph: (401) 595-3467		David E Mandelbaum, MD, PHD
1 Park St,
New Haven, CT 06504-8901

Ph: (203) 785-4081

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.