Laurie Mandel, is a medicare enrolled "Nurse Practitioner - Family" in University Hts, Ohio. Her current practice location is
2503 Rubyvale Rd, University Hts, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 406-4323.
Laurie Mandel is licensed to practice in Ohio (license number COA-NP-02671) 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 1417040759.
Provider's Profile
| Full Name | Laurie Mandel |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2503 Rubyvale Rd, University Hts, 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: 1417040759
- Provider Enumeration Date: 10/01/2006
- Last Update Date: 10/08/2009
Medicare PECOS Information:
- PECOS PAC ID: 0840253936
- Enrollment ID: I20041110001056
Medical Identifiers
Medical identifiers for Laurie Mandel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417040759 | NPI | - | NPPES |
| 2249758 | Medicaid | OH | |
| 000000372969 | Other | OH | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | COA-NP-02671 (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. Laurie Mandel allows following entities to bill medicare on her behalf.
| Entity Name | Signature Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679767289
PECOS PAC ID: 8628970985
Enrollment ID: O20040126000762 |
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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. Laurie Mandel 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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Laurie Mandel,
2503 Rubyvale Rd,
University Hts, OH 44118-4619
Ph: (216) 291-4089 | Laurie Mandel,
2503 Rubyvale Rd,
University Hts, OH 44118-4619
Ph: (216) 406-4323 |
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