DR. KELLY CARROTHERS MANTEI DDS
NPI 1508876566
Dentist - General Practice in St Augustine, FL
About Dr. Kelly Carrothers Mantei Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY CARROTHERS MANTEI DDS (NPI 1508876566) is an individual general practice provider in St Augustine, Florida, licensed in Florida (DN15067) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kelly Carrothers Mantei Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2016 through February 22, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST AUGUSTINE, FL 32080
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508876566, enumerated as an "individual" on August 09, 2006.
The provider is located at 2225 A1A S STE A3 ST AUGUSTINE, FL 32080 and the phone number is (904) 471-7300.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, BEST Life,. Please consult your insurance carrier or call the provider to verify.
