Mandy Katheryn Mcnamara, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jonesboro, Louisiana. Her current practice location is
103 Watts St, Jonesboro, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 259-1569.
Mandy Katheryn Mcnamara is licensed to practice in Louisiana (license number 300023) 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 1326419789.
Provider's Profile
| Full Name | Mandy Katheryn Mcnamara |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 103 Watts St, Jonesboro, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326419789
- Provider Enumeration Date: 10/12/2015
- Last Update Date: 06/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 3072811298
- Enrollment ID: I20160420002225
Medical Identifiers
Medical identifiers for Mandy Katheryn Mcnamara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326419789 | NPI | - | NPPES |
| 300023 | Other | LA | LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 300023 (Louisiana) | 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. Mandy Katheryn Mcnamara allows following entities to bill medicare on her behalf.
| Entity Name | Larry K. Broadwell, M.D., a Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689766271 PECOS PAC ID: 7113984402 Enrollment ID: O20041218000025 |
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| Entity Name | Northern Louisiana Emergency Physicians, LLP |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588828172 PECOS PAC ID: 9638246846 Enrollment ID: O20080930000036 |
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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. Mandy Katheryn Mcnamara 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 |
Mandy Katheryn Mcnamara, PA-C 820 Jordan St, Ste 201, Shreveport, LA 71101-4518 Ph: (318) 259-1569 | Mandy Katheryn Mcnamara, PA-C 103 Watts St, Jonesboro, LA 71251-2053 Ph: (318) 259-1569 |
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