Mary A Mandziara, NP in Grosse Pointe Woods, MI

Mary A Mandziara, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Grosse Pointe Woods, Michigan. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ascension St John Hospital and her current practice location is 19229 Mack Ave, Suite 34, Grosse Pointe Woods, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 647-3245.

Mary A Mandziara is licensed to practice in Michigan (license number 4704131950) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669568341.

Contact Information

	Mary A Mandziara, NP
	19229 Mack Ave, Suite 34, Grosse Pointe Woods, MI 48236-2858
	(313) 647-3245
	(313) 647-3244

Map and Direction

Provider's Profile

Full Name	Mary A Mandziara
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	19229 Mack Ave, Grosse Pointe Woods, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary A Mandziara graduated from nursing school in 1998

NPI Data:

NPI Number: 1669568341
Provider Enumeration Date: 10/04/2006
Last Update Date: 10/24/2014

Medicare PECOS Information:

PECOS PAC ID: 6800978313
Enrollment ID: I20080123000381

Medical Identifiers

Medical identifiers for Mary A Mandziara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669568341	NPI	-	NPPES
4327582	Medicaid	MA
0866737	Other	MI	BCBSM PIN
4704131950	Other	MI	MICHIGAN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704131950 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension St John Hospital	3173424082	296

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. Mary A Mandziara allows following entities to bill medicare on her behalf.

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700831500 PECOS PAC ID: 3173424082 Enrollment ID: O20040223000461

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. Mary A Mandziara 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
Mary A Mandziara, NP 19229 Mack Ave, Suite 23, Grosse Pointe Woods, MI 48236-2858 Ph: (313) 647-3245	Mary A Mandziara, NP 19229 Mack Ave, Suite 34, Grosse Pointe Woods, MI 48236-2858 Ph: (313) 647-3245

Reviews and Comments

Nurse Practitioner Nurses in Grosse Pointe Woods, MI

Alitha V Glenn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Michigan, 19259 Linville St, Grosse Pointe Woods, MI 48236 Phone: 248-346-6959
Mrs. Oknang Bartok, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20160 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-8600 Fax: 313-882-0737
Jessica Lynn Kata, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236 Phone: 313-647-3200
Gail M Grunkemeyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236 Phone: 313-884-5522 Fax: 313-884-6054
Dr. Anna F Boston, DNP-ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 23, Grosse Pointe Woods, MI 48236 Phone: 313-647-3252 Fax: 313-647-3349
Amy Stros, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236 Phone: 313-343-3740
Nicole Erin Durkin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1931 Lancaster St, Grosse Pointe Woods, MI 48236 Phone: 313-363-4244

Mary A Mandziara, NP - Medicare Nurse Practitioner in Grosse Pointe Woods, MI