Mr Colin Kenneth Mandigo, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Shelbyville, Michigan. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 2880 Mission Dr, Shelbyville, Michigan |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Colin Kenneth Mandigo graduated from medical school in 2020
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: I20251120000306
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 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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