Mycal L Mansfield, MD - Medicare Family Practice in Avilla, IN

Mycal L Mansfield, MD is a medicare enrolled "Family Medicine" physician in Avilla, Indiana. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Parkview Health System Inc and her current practice location is 104 Nicholas Pl, Avilla, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 897-3308.

Mycal L Mansfield is licensed to practice in Indiana (license number 01067081A) 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 1174730071.

Contact Information

Mycal L Mansfield, MD
104 Nicholas Pl,
Avilla, IN 46710-0069
(260) 897-3308
(260) 897-3650



Physician's Profile

Full NameMycal L Mansfield
GenderFemale
SpecialityFamily Practice
Experience18 Years
Location104 Nicholas Pl, Avilla, Indiana
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:
  • Mycal L Mansfield graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1174730071
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 10/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597810622
  • Enrollment ID: I20090826000104

Medical Identifiers

Medical identifiers for Mycal L Mansfield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174730071NPI-NPPES
000000656884OtherINANTHEM
200950300MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01067081A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkview Home Health And HospiceFort wayne, INHospice
Parkview Noble HospitalKendallville, INHospital
Parkview Regional Medical CenterFort wayne, INHospital
Dekalb HealthAuburn, INHospital
Parkview Lagrange HospitalLagrange, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Parkview Health System Inc21633369671167

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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. Mycal L Mansfield allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288

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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. Mycal L Mansfield 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
Mycal L Mansfield, MD
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: (260) 266-6013
Mycal L Mansfield, MD
104 Nicholas Pl,
Avilla, IN 46710-0069

Ph: (260) 897-3308

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Family Medicine Doctors in Avilla, IN

Gerald G. Warrener, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 104 Nicholas Pl, Avilla, IN 46710
Phone: 260-897-2520    Fax: 260-897-3650
Phillip W. Corbin, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 104 Nicholas Pl, Avilla, IN 46710
Phone: 260-897-3308    Fax: 260-897-3650
James D. Chandler, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 125 Baum Street, Avilla, IN 46710
Phone: 260-897-3556    Fax: 260-897-3650
Lisa A. Lane, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 Baum Street, Avilla, IN 46710
Phone: 260-897-3349    Fax: 260-897-3650

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