Allison Nicole Mancz, is a medicare enrolled "Nurse Practitioner - Family" physician in Kettering, Ohio. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is
3700 Southern Blvd Ste 101, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 281-3810.
Allison Nicole Mancz is licensed to practice in Ohio (license number APRN.CNP.0029115) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285204982.
Physician's Profile
| Full Name | Allison Nicole Mancz |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3700 Southern Blvd Ste 101, Kettering, Ohio |
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| Accepts Medicare Assignments | Yes. She 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:
- Allison Nicole Mancz graduated from medical school in 2021
NPI Data:
- NPI Number: 1285204982
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678979614
- Enrollment ID: I20210831001089
Medical Identifiers
Medical identifiers for Allison Nicole Mancz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285204982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | APRN.CNP.0029115 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0029115 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kettering Independent Medical Group Inc | 3173710936 | 602 |
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. Allison Nicole Mancz allows following entities to bill medicare on her behalf.
| Entity Name | Kettering Independent Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425 |
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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. Allison Nicole Mancz 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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Allison Nicole Mancz,
271 Glenburn Dr,
Centerville, OH 45459-2116
Ph: (937) 694-7393 | Allison Nicole Mancz,
3700 Southern Blvd Ste 101,
Kettering, OH 45429-1265
Ph: (937) 281-3810 |
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