Jonatan Lopez Mancilla, is a medicare enrolled "Social Worker" provider in Ephraim, Utah. He graduated from healthcare school in 2025 and has 1 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Central Utah Counseling Center and his current practice location is
390 W 100 N, Ephraim, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 283-4065.
Jonatan Lopez Mancilla is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053973685.
Healthcare Provider's Profile
| Full Name | Jonatan Lopez Mancilla |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 1 Years |
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| Location | 390 W 100 N, Ephraim, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonatan Lopez Mancilla graduated from medical school in 2025
NPI Data:
- NPI Number: 1053973685
- Provider Enumeration Date: 07/03/2019
- Last Update Date: 10/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850869827
- Enrollment ID: I20260507002836
Medical Identifiers
Medical identifiers for Jonatan Lopez Mancilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053973685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Utah Counseling Center | 6305743618 | 21 |
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. Jonatan Lopez Mancilla allows following entities to bill medicare on his behalf.
| Entity Name | Central Utah Counseling Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639185424
PECOS PAC ID: 6305743618
Enrollment ID: O20031215000998 |
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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. Jonatan Lopez Mancilla 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 |
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Jonatan Lopez Mancilla,
152 N 400 W,
Ephraim, UT 84627-5549
Ph: (435) 283-8400 | Jonatan Lopez Mancilla,
390 W 100 N,
Ephraim, UT 84627-2131
Ph: (435) 283-4065 |
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