JEFFREY JAMES MANDZIUK II PA-C
NPI 1316763204
Physician Assistant - Medical in Flint, MI

NPI Status: Active since November 25, 2024

Contact Information

1 HURLEY PLZ
FLINT, MI
ZIP 48503
Phone: (810) 262-9000

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  • Individual
  • Male
  • Years of Experience 1
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JEFFREY MANDZIUK

This page provides the complete NPI Profile along with additional information for Jeffrey Mandziuk, a primary care provider established in Flint, Michigan with a medical specialization in Physician Assistant, focusing in medical and more than one year of experience. He graduated from Wayne State University School Of Medicine in 2025. The healthcare provider is registered in the NPI registry with number 1316763204 assigned on November 2024. The practitioner's primary taxonomy code is 363AM0700X with license number 5601013246 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1316763204
Provider Name
JEFFREY JAMES MANDZIUK II PA-C
Other Name
MR. JJ MANDZIUK II
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
1 HURLEY PLZ FLINT, MI 48503
Location Phone
(810) 262-9000
Mailing Address
259 MACK AVE # 2590 DETROIT, MI 48201
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2025
Is Sole Proprietor?
No
Enumeration Date
11-25-2024
Last Update Date
07-29-2025
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A primary care provider (PCP) like Jeffrey Mandziuk sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601013246
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jeffrey Mandziuk is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jeffrey Mandziuk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3072013903

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250825001302

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Mandziuk is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HURLEY MEDICAL CENTERONE HURLEY PLAZA
FLINT, MI 48503
(810) 257-9000Acute Care Hospitals

Reviews for JEFFREY JAMES MANDZIUK II PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316763204, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 4 + 6 + 6 + 2 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316763204.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1 HURLEY PLZ
FLINT, MI 48503
Specialist
1 HURLEY PLZ
FLINT, MI 48503
Specialist
1 HURLEY PLZ
FLINT, MI 48503
Radiology (Diagnostic Radiology)
1 HURLEY PLZ, RADIOLOGY DEPARTMENT
FLINT, MI 48503
Anesthesiology
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Obstetrics & Gynecology
1 HURLEY PLZ
FLINT, MI 48503
Nurse Practitioner
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Physician Assistant
1 HURLEY PLZ
FLINT, MI 48503
Pediatrics (Pediatric Hematology-Oncology)
1 HURLEY PLZ, 3A-WB
FLINT, MI 48503
Emergency Medicine (Emergency Medical Services)
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316763204, enumerated as an "individual" on November 25, 2024.

The provider is located at 1 HURLEY PLZ FLINT, MI 48503 and the phone number is (810) 262-9000.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Jeffrey Mandziuk is affiliated with: HURLEY MEDICAL CENTER.