Andrea K Mantell, APRN is a medicare enrolled "Family Medicine" in Mount Vernon, Ohio. Her current practice location is
1330 Coshocton Ave, Mount Vernon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 393-9000.
Andrea K Mantell is licensed to practice in Ohio (license number CNP021484) 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 1407330541.
Provider's Profile
| Full Name | Andrea K Mantell |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407330541
- Provider Enumeration Date: 09/24/2018
- Last Update Date: 03/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618220039
- Enrollment ID: I20181031001967
Medical Identifiers
Medical identifiers for Andrea K Mantell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407330541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.021484 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | CNP021484 (Ohio) | 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. Andrea K Mantell allows following entities to bill medicare on her behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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| Entity Name | Knox Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154483022
PECOS PAC ID: 1153301833
Enrollment ID: O20040722001173 |
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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. Andrea K Mantell 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 |
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Andrea K Mantell, APRN
1330 Coshocton Ave,
Mount Vernon, OH 43050-1440
Ph: (740) 393-9000 | Andrea K Mantell, APRN
1330 Coshocton Ave,
Mount Vernon, OH 43050-1440
Ph: (740) 393-9000 |
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