Manda Louise Chatelain, NP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Phoenix, Arizona. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Center For Orthopedic Research And Education Llc and her current practice location is
1331 N 7th St Ste 405, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 254-3151.
Manda Louise Chatelain is licensed to practice in Arizona (license number AP1568) 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 1124049838.
Physician's Profile
| Full Name | Manda Louise Chatelain |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 1331 N 7th St Ste 405, Phoenix, Arizona |
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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:
- Manda Louise Chatelain graduated from medical school in 2002
NPI Data:
- NPI Number: 1124049838
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597853655
- Enrollment ID: I20071127000047
Medical Identifiers
Medical identifiers for Manda Louise Chatelain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124049838 | NPI | - | NPPES |
| 860224285 | Other | AZ | TAX ID |
| 188316200 | Other | AZ | DEPT OF LABOR ID |
| 1Z9797 | Other | AZ | HEALTHNET |
| CD4863 | Other | AZ | RAILROAD MEDICARE ID |
| 751679 | Medicaid | AZ | |
| AZ0143190 | Other | AZ | BC BS ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | AP1568 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP1568 (Arizona) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | AP1568 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Center For Orthopedic Research And Education Llc | 0345287322 | 232 |
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. Manda Louise Chatelain allows following entities to bill medicare on her behalf.
| Entity Name | Center For Orthopedic Research And Education Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427095801
PECOS PAC ID: 0345287322
Enrollment ID: O20050412000087 |
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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. Manda Louise Chatelain 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 |
|---|
Manda Louise Chatelain, NP
18444 N 25th Ave Ste 310,
Phoenix, AZ 85023-1266
Ph: (866) 974-2673 | Manda Louise Chatelain, NP
1331 N 7th St Ste 405,
Phoenix, AZ 85006-2754
Ph: (602) 254-3151 |
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