Mr Colin Kenneth Mandigo, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Shelbyville, Michigan. His current practice location is
2880 Mission Dr, Shelbyville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 397-1760.
Mr Colin Kenneth Mandigo is licensed to practice in Michigan (license number 6801115066) 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 1427619667.
Healthcare Provider's Profile
Full Name | Mr Colin Kenneth Mandigo |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2880 Mission Dr, Shelbyville, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427619667
- Provider Enumeration Date: 06/27/2019
- Last Update Date: 07/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113382458
- Enrollment ID: I20230420001599
Medical Identifiers
Medical identifiers for Mr Colin Kenneth Mandigo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427619667 | NPI | - | NPPES |
6801115066 | Other | MI | LARA BOARD OF SOCIAL WORK MASTERS SOCIAL WORKER LICENSE CLINICAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801115066 (Michigan) | 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. Mr Colin Kenneth Mandigo allows following entities to bill medicare on his behalf.
Entity Name | Community Healing Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649271636 PECOS PAC ID: 8628014750 Enrollment ID: O20050629001033 |
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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. Mr Colin Kenneth Mandigo 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 |
Mr Colin Kenneth Mandigo, LMSW 2880 Mission Dr, Shelbyville, MI 49344-9580 Ph: (269) 397-1760 | Mr Colin Kenneth Mandigo, LMSW 2880 Mission Dr, Shelbyville, MI 49344-9580 Ph: (269) 397-1760 |
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