Mandala Medicine Acupuncture Llc is a medicare enrolled "Acupuncturist" provider in Portland, Oregon. Their current practice location is
3125 E Burnside St, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at
(503) 758-9760.
Mandala Medicine Acupuncture Llc is licensed to practice in Oregon (license number AC 152885) and it also participates in the medicare program. Mandala Medicine Acupuncture Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1952600124.
Healthcare Provider's Profile
Full Name | Mandala Medicine Acupuncture Llc |
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Type | Facility |
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Speciality | Acupuncturist |
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Location | 3125 E Burnside St, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952600124
- Provider Enumeration Date: 03/26/2011
- Last Update Date: 03/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 4789976101
- Enrollment ID: O20160706000233
Medical Identifiers
Medical identifiers for Mandala Medicine Acupuncture Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952600124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (Oregon) | Secondary |
171100000X | Acupuncturist | AC 152885 (Oregon) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mandala Medicine Acupuncture Llc acts as a billing entity for following providers:
Provider Name | Katy R Kemp |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1255483376 PECOS PAC ID: 0648458067 Enrollment ID: I20110706000456 |
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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. Mandala Medicine Acupuncture Llc 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 |
Mandala Medicine Acupuncture Llc 1020 Se 7th Ave #14100, Portland, OR 97293 Ph: (503) 758-9760 | Mandala Medicine Acupuncture Llc 3125 E Burnside St, Portland, OR 97214-2073 Ph: (503) 758-9760 |
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