Selissa Mantas, DMD in Loveland, CO - Medicare Dentist Provider

Selissa Mantas, DMD is a medicare enrolled "Dentist - General Practice" provider in Loveland, Colorado. Her current practice location is 302 3rd St Se Ste 150, Loveland, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 461-8942.

Selissa Mantas is licensed to practice in Colorado (license number 203602) 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 1114309085.

Contact Information

	Selissa Mantas, DMD
	302 3rd St Se Ste 150, Loveland, CO 80537
	(970) 461-8942
	(970) 292-1538

Map and Direction

Healthcare Provider's Profile

Full Name	Selissa Mantas
Gender	Female
Speciality	Dentist - General Practice
Location	302 3rd St Se Ste 150, Loveland, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114309085
Provider Enumeration Date: 06/26/2015
Last Update Date: 08/22/2018

Medicare PECOS Information:

PECOS PAC ID: 5092098400
Enrollment ID: I20170209001225

Medical Identifiers

Medical identifiers for Selissa Mantas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114309085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	1001107-15 (Wisconsin)	Secondary
1223G0001X	Dentist - General Practice	203602 (Colorado)	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. Selissa Mantas 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
Selissa Mantas, DMD 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 350-4606	Selissa Mantas, DMD 302 3rd St Se Ste 150, Loveland, CO 80537 Ph: (970) 461-8942

Reviews and Comments

Dentist in Loveland, CO

Dr. Theodore Eugene Mioduski Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2975 Ginnala Dr Ste 100, Loveland, CO 80538 Phone: 970-663-1000 Fax: 970-663-0615
Dr. Louis Ray Gerken, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 Madison Square Dr, Suite 1, Loveland, CO 80538 Phone: 970-669-7711 Fax: 970-669-2491
David Wilbur Wright, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2004 W 15th Street, Loveland, CO 80538 Phone: 970-663-2133
Dr. Thomas Steed Orrock, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1405 10th St Sw, Loveland, CO 80537 Phone: 970-962-9995 Fax: 970-461-0693
Summer Damico, Dentist Medicare: Medicare Enrolled Practice Location: 1569 Fall River Dr Ste 193, Loveland, CO 80538 Phone: 970-669-4433
Dr. Emily Elizabeth Peepers, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1569 Fall River Dr Ste 193, Loveland, CO 80538 Phone: 970-669-4433
Andrew Maples, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2502 Abarr Dr, Loveland, CO 80538 Phone: 970-669-1444 Fax: 970-669-1445

Selissa Mantas, DMD - Medicare Dentist in Loveland, CO