Mario Mangiardi, MD - Medicare Psychiatry in Petaluma, CA

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Mario Mangiardi, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Petaluma, California. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 1900 S Mcdowell Blvd, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 699-6100.

Mario Mangiardi is licensed to practice in California (license number A153617) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023490828.

Contact Information

Mario Mangiardi, MD
1900 S Mcdowell Blvd,
Petaluma, CA 94954-5473
(707) 699-6100
Not Available

Map and Direction




Physician's Profile

Full NameMario Mangiardi
GenderMale
SpecialityPsychiatry
Experience9 Years
Location1900 S Mcdowell Blvd, Petaluma, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mario Mangiardi graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1023490828
  • Provider Enumeration Date: 06/29/2015
  • Last Update Date: 07/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507198371
  • Enrollment ID: I20191028002149

Medical Identifiers

Medical identifiers for Mario Mangiardi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023490828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology A153617 (California)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MT209621 (Pennsylvania)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry A153617 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

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. Mario Mangiardi allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameTraditions Psychiatry Group, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083802979
PECOS PAC ID: 8729984539
Enrollment ID: O20031211000677
Entity NamePih Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609233899
PECOS PAC ID: 8426951328
Enrollment ID: O20040128001177
Entity NameCep America - Psychiatry Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538757232
PECOS PAC ID: 0244522159
Enrollment ID: O20160713002860

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. Mario Mangiardi 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
Mario Mangiardi, MD
1900 S Mcdowell Blvd,
Petaluma, CA 94954-5473

Ph: (707) 699-6100		Mario Mangiardi, MD
1900 S Mcdowell Blvd,
Petaluma, CA 94954-5473

Ph: (707) 699-6100

Reviews and Comments


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Kenneth R. Wulff, MD
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Sophie Aneson-macleon, M.D.
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Dr. Jeremy Lr Goodwin, MS, MD
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Practice Location: 1456 Professional Dr Ste 402, Petaluma, CA 94954
Phone: 707-938-7951    Fax: 707-938-7260

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.