Mandel Johnson Smith, RD - Medicare Dietitian in Philadelphia, PA

Mandel Johnson Smith, RD is a medicare enrolled "Dietitian, Registered" provider in Philadelphia, Pennsylvania. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-4600.

Mandel Johnson Smith is licensed to practice in Pennsylvania (license number DN006633) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1083453260.

Contact Information

Mandel Johnson Smith, RD
3401 N Broad St,
Philadelphia, PA 19140-5103
(215) 707-4600
(215) 707-5599

Map and Direction




Healthcare Provider's Profile

Full NameMandel Johnson Smith
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience9 Years
Location3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mandel Johnson Smith graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1083453260
  • Provider Enumeration Date: 05/20/2024
  • Last Update Date: 02/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507359031
  • Enrollment ID: I20251203002675

Medical Identifiers

Medical identifiers for Mandel Johnson Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083453260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DN006633 (Pennsylvania)Primary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism DN006633 (Pennsylvania)Secondary

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. Mandel Johnson Smith allows following entities to bill medicare on her behalf.
Provider NameTemple Faculty Practice Plan Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623

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. Mandel Johnson Smith 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 AddressPractice Location Address
Mandel Johnson Smith, RD
3509 N Broad St,
Philadelphia, PA 19140-4105

Ph: (215) 707-2433
Mandel Johnson Smith, RD
3401 N Broad St,
Philadelphia, PA 19140-5103

Ph: (215) 707-4600

Reviews and Comments


Dietitian, Registered in Philadelphia, PA

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.