Miss Sandra Louis Mangle, MA, LAMFT in Otsego, MN - Medicare Marriage & Family Therapist Provider

Miss Sandra Louis Mangle, MA, LAMFT is a medicare enrolled "Marriage & Family Therapist" provider in Otsego, Minnesota. Her current practice location is 9075 Quaday Ave Ne, Suite 102, Otsego, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 746-9492.

Miss Sandra Louis Mangle is licensed to practice in Minnesota (license number MA) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942378302.

Contact Information

	Miss Sandra Louis Mangle, MA, LAMFT
	9075 Quaday Ave Ne, Suite 102, Otsego, MN 55330-6672
	(763) 746-9492
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Sandra Louis Mangle
Gender	Female
Speciality	Marriage & Family Therapist
Location	9075 Quaday Ave Ne, Otsego, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942378302
Provider Enumeration Date: 12/01/2006
Last Update Date: 01/13/2009

Medicare PECOS Information:

PECOS PAC ID: 4587102199
Enrollment ID: I20240814001945

Medical Identifiers

Medical identifiers for Miss Sandra Louis Mangle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942378302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MA (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. Miss Sandra Louis Mangle allows following entities to bill medicare on her behalf.

Entity Name	Relate Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053486902 PECOS PAC ID: 8224005491 Enrollment ID: O20040916000152

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. Miss Sandra Louis Mangle 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
Miss Sandra Louis Mangle, MA, LAMFT 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: (651) 628-9566	Miss Sandra Louis Mangle, MA, LAMFT 9075 Quaday Ave Ne, Suite 102, Otsego, MN 55330-6672 Ph: (763) 746-9492

Reviews and Comments

Marriage & Family Therapist in Otsego, MN

Jennifer Lynn Geryol, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9201 Quaday Ave Ne, Otsego, MN 55330 Phone: 763-703-6962 Fax: 651-925-0071
Jane Pollock Johnson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685
Lisa Anne Eskola, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685
Barbara B Cuppett, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9000 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-633-3800 Fax: 763-633-3808
Allison C Benz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9000 Quantrelle Ave Ne, Ste 102, Otsego, MN 55330 Phone: 612-217-4241 Fax: 612-239-0141
Leah Corder, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330 Phone: 763-309-1005 Fax: 651-222-9727
John William Eskola, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9075 Quaday Ave Ne, Suite 102, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685

Miss Sandra Louis Mangle, MA, LAMFT - Medicare Couples Therapy in Otsego, MN