Dr Sheilaine R Mabanta, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Staples, Minnesota. She went to Tulane University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Radiation Oncology. She is a member of the group practice Florida Hospital Medical Group Inc and her current practice location is
49725 County 83, Staples, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 894-1515.
Dr Sheilaine R Mabanta is licensed to practice in Minnesota (license number 65060) 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 1619925484.
Physician's Profile
| Full Name | Dr Sheilaine R Mabanta |
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| Gender | Female |
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| Speciality | Radiation Oncology |
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| Experience | 30 Years |
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| Location | 49725 County 83, Staples, Minnesota |
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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:
- Dr Sheilaine R Mabanta attended and graduated from Tulane University School Of Medicine in 1995
NPI Data:
- NPI Number: 1619925484
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103019500
- Enrollment ID: I20101018001077
Medical Identifiers
Medical identifiers for Dr Sheilaine R Mabanta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619925484 | NPI | - | NPPES |
| 328624701 | Medicaid | TX | |
| 259085900 | Medicaid | FL | |
| 295100YS65 | Other | TX | MEDICARE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | ME74201 (Florida) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | P6999 (Texas) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 65060 (Minnesota) | Primary |
| 174400000X | Specialist | ME74201 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Florida Hospital Medical Group Inc | 0042383200 | 279 |
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. Dr Sheilaine R Mabanta allows following entities to bill medicare on her behalf.
| Entity Name | Florida Radiology Imaging At Lake Mary Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740256494
PECOS PAC ID: 1254311137
Enrollment ID: O20040721001414 |
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| Entity Name | Florida Hospital Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073785044
PECOS PAC ID: 0042383200
Enrollment ID: O20080721000717 |
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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. Dr Sheilaine R Mabanta 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 |
|---|
Dr Sheilaine R Mabanta, MD
49725 County 83,
Staples, MN 56479-5280
Ph: (218) 894-1515 | Dr Sheilaine R Mabanta, MD
49725 County 83,
Staples, MN 56479-5280
Ph: (218) 894-1515 |
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