Emily Mammenga, MD - Medicare Psychiatry & Neurology in Flagstaff, AZ

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Emily Mammenga, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Flagstaff, Arizona. Her current practice location is 1895 N Jasper Dr Ste 3, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (289) 138-8009.

Emily Mammenga is licensed to practice in Arizona (license number 77626) 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 1245810217.

Contact Information

Emily Mammenga, MD
1895 N Jasper Dr Ste 3,
Flagstaff, AZ 86001-1632
(289) 138-8009
Not Available

Map and Direction




Physician's Profile

Full NameEmily Mammenga
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1895 N Jasper Dr Ste 3, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245810217
  • Provider Enumeration Date: 04/13/2021
  • Last Update Date: 08/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799187589
  • Enrollment ID: I20230920002599

Medical Identifiers

Medical identifiers for Emily Mammenga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245810217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 74559 (Minnesota)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 77626 (Arizona)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. Emily Mammenga allows following entities to bill medicare on her behalf.
Entity NameSt Cloud Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134
Entity NameCentracare Health System-nr Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1275872772
PECOS PAC ID: 3870739410
Enrollment ID: O20130426000215
Entity NameCentracare Health System-nr Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558600874
PECOS PAC ID: 3870739410
Enrollment ID: O20130515000683
Entity NameCarris Health Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1134632680
PECOS PAC ID: 7012274228
Enrollment ID: O20180111000831

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. Emily Mammenga 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
Emily Mammenga, MD
1200 N Beaver St, Attn: Payer Credentialing,
Flagstaff, AZ 86001-3118

Ph: (928) 213-6235		Emily Mammenga, MD
1895 N Jasper Dr Ste 3,
Flagstaff, AZ 86001-1632

Ph: (289) 138-8009

Reviews and Comments


Psychiatry & Neurology Doctors in Flagstaff, AZ

Ernesto F Figueroa, M.D.
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Dr. Thomas J Gaughan, MD
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Phone: 928-213-6411    
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Phone: 928-213-6415    Fax: 928-213-6409
Dr. Sara Faith Gibson, MD
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Dr. Mary L Delduca, MD
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Phone: 928-774-1538    Fax: 928-774-2801
Matthew Alan Bond, MD
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Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-213-6415    
Dr. Travis Clark Stiegler, D.O.
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Practice Location: 1501 S Yale St, Ste 250, Flagstaff, AZ 86001
Phone: 928-556-0707    Fax: 928-779-2223

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.