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SALLY M MANDICHAK
NPI 1124547930
Emergency Medicine in Reno, NV

Active since September 12, 2017PECOS Enrolled
740 CALIFORNIA AVE, RENO, NV 89509(775) 233-5300 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Jul 21, 2022, Mar 7, 2018 and 1 more (4 updates tracked since 2017).

About Sally M Mandichak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY M MANDICHAK (NPI 1124547930) is an individual emergency medicine provider in Reno, Nevada, licensed in Virginia (0101267386) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124547930
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSALLY M MANDICHAK
Location Address740 CALIFORNIA AVEReno, NV 89509
Mailing Address200 Mercy Circle OceansideOceanside, CA 92055 · (775) 233-5300
Phone(775) 233-5300
Sole ProprietorYes
Enumeration DateSeptember 12, 2017
Last NPPES UpdateDecember 4, 20234 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1124547930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101267386
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
740 CALIFORNIA AVE, Reno, NV 89509
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally M Mandichak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Mandichak's NPI number?

The NPI number for Sally Mandichak is 1124547930. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Sally Mandichak located?

Sally Mandichak practices at 740 California Ave, Reno, NV 89509. The listed phone number is (775) 233-5300.

What is Sally Mandichak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sally Mandichak enrolled in Medicare?

Yes. Sally Mandichak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Mandichak was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.