Amy Nicole Mandeville, - Medicare Family Practice in Waupaca, WI

Amy Nicole Mandeville, is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. She went to University Of New Mexico School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare Incorporated and her current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 256-3000.

Amy Nicole Mandeville is licensed to practice in Wisconsin (license number 73650) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225478126.

Contact Information

Amy Nicole Mandeville,
710 Riverside Dr,
Waupaca, WI 54981-1941
(715) 256-3000
Not Available



Physician's Profile

Full NameAmy Nicole Mandeville
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location710 Riverside Dr, Waupaca, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy Nicole Mandeville attended and graduated from University Of New Mexico School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1225478126
  • Provider Enumeration Date: 06/25/2013
  • Last Update Date: 09/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294051041
  • Enrollment ID: I20200929001402

Medical Identifiers

Medical identifiers for Amy Nicole Mandeville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225478126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRM-1324 (Idaho)Secondary
207Q00000XFamily Medicine MD178973 (Oregon)Secondary
207Q00000XFamily Medicine 73650 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare At HomeAppleton, WIHospice
Thedacare Medical Center-waupacaWaupaca, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Wi Veterans Hm Olson HallKing, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Incorporated1759294887493

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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. Amy Nicole Mandeville allows following entities to bill medicare on her behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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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. Amy Nicole Mandeville 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 AddressPractice Location Address
Amy Nicole Mandeville,
710 Riverside Dr,
Waupaca, WI 54981-1941

Ph: (715) 256-3000
Amy Nicole Mandeville,
710 Riverside Dr,
Waupaca, WI 54981-1941

Ph: (715) 256-3000

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Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: N2437 E Miner Dr, Waupaca, WI 54981
Phone: 608-475-0328    Fax: 715-256-5452
Ashley Tardieu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    Fax: 715-256-3079
Sarah C Durst, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    Fax: 915-756-3079
Dorrie Marie Happ, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3062    Fax: 715-256-3079
Molly Ann Szymanski, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    
Patty Kile,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    

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