Shiny Mandla, DO in Elk Grove, CA

Shiny Mandla, DO is a medicare enrolled "Pediatrics" physician in Elk Grove, California. Her current practice location is 9201 Big Horn Blvd, Elk Grove, California. You can reach out to her office (for appointments etc.) via phone at (916) 478-5000.

Shiny Mandla is licensed to practice in California (license number 20A6954) 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 1720166440.

Contact Information

	Shiny Mandla, DO
	9201 Big Horn Blvd, Elk Grove, CA 95758-1240
	(916) 478-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Shiny Mandla
Gender	Female
Speciality	Pediatrics
Location	9201 Big Horn Blvd, Elk Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720166440
Provider Enumeration Date: 11/01/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9638352321
Enrollment ID: I20110317000369

Medical Identifiers

Medical identifiers for Shiny Mandla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720166440	NPI	-	NPPES
00AX69540	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	20A6954 (California)	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. Shiny Mandla allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Shiny Mandla 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
Shiny Mandla, DO 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Shiny Mandla, DO 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 Ph: (916) 478-5000

Reviews and Comments

Pediatrics Doctors in Elk Grove, CA

Karanbir Singh Gill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8170 Laguna Blvd, Suite 210, Elk Grove, CA 95758 Phone: 916-691-5999
Dr. Scott David Meier, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10305 Promenade Pkwy, Elk Grove, CA 95757 Phone: 916-544-6688
Dr. Karyn L Macneil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9281 Office Park Cir, #120, Elk Grove, CA 95758 Phone: 916-691-5999 Fax: 916-691-6717
Dr. Anubha Khanna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9281 Office Park Circle, Suite 120, Elk Grove, CA 95758 Phone: 916-691-5988
Dr. Ngoc Han D Vu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9281 Office Park Cir, #120, Elk Grove, CA 95758 Phone: 916-691-5999 Fax: 916-691-6717
Jaclyn Victoria, MSN, APRN, FNP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9291 Laguna Springs Dr Ste A, Elk Grove, CA 95758 Phone: 916-714-9777 Fax: 916-714-9713
Dr. Douglas Charles Peterson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758 Phone: 916-691-9574

Shiny Mandla, DO - Medicare Pediatrics in Elk Grove, CA