Mandi Diederich, PA-C is a
Physician Assistant based in Marysville, Kansas. Mandi Diederich is licensed to practice in * (Not Available) (license number ) and her current practice location is
107 S 8th St, Marysville, Kansas. She can be reached at her office (for appointments etc.) via phone at
(785) 619-6078.
NPI number for Mandi Diederich is 1487463089 and her current mailing address is 404 S Hanover St, Hanover, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487463089.
Provider's Profile
| Full Name | Mandi Diederich |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 107 S 8th St, Marysville, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487463089
- Provider Enumeration Date: 01/07/2025
- Last Update Date: 05/31/2026
Medical Identifiers
Medical identifiers for Mandi Diederich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487463089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Mandi Diederich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mandi Diederich, PA-C
404 S Hanover St,
Hanover, KS 66945-8862
Ph: () - | Mandi Diederich, PA-C
107 S 8th St,
Marysville, KS 66508-1831
Ph: (785) 619-6078 |
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