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MAEGEN MANDEVILLE PA
NPI 1679921787
Physician Assistant in Royal Oak, MI

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
5130 COOLIDGE HWY, ROYAL OAK, MI 48073(248) 288-9500(248) 288-0044 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maegen Mandeville Pa NPPES

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

MAEGEN MANDEVILLE PA (NPI 1679921787) is an individual physician assistant in Royal Oak, Michigan and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679921787
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAEGEN MANDEVILLECredential: PA
Location Address5130 COOLIDGE HWYRoyal Oak, MI 48073-1001
Mailing Address5130 Coolidge HwyRoyal Oak, MI 48073-1001 · (248) 288-9500 · Fax (248) 288-0044
Phone(248) 288-9500
Fax(248) 288-0044
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2016
✔ NPI 1679921787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5130 COOLIDGE HWY, Royal Oak, MI 48073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maegen Mandeville Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557654878
PECOS Enrollment IDI20160725002118
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
149 services140 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
46 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services19 patients
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KINJAL PATEL PHYSICAL THERAPIST
Physical Therapist
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 435-7400
THERESA A CARRIER-TORREALBA FNP-C
Nurse Practitioner (Family)
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 237-4891
ROYAL OAK MEDICAL CENTER PC
Clinic/Center
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500
ROYAL OAK MEDICAL CENTER, P.C.
Family Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500
DR. MUMTAZ GEORGE M.D.
Internal Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500
MR. DHARMESHKUMAR RAMANBHAI PATEL R.P.T.
Physical Therapist
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (517) 392-0120
DAVID VANDAM LLC
Nurse Anesthetist, Certified Registered
5130 COOLIDGE HWY, SUITE 120
ROYAL OAK, MI 48073
Oakland County (248) 658-0878
ROYAL OAK MEDICAL CENTER PC
Internal Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500

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 Maegen Mandeville's NPI number?

The NPI number for Maegen Mandeville is 1679921787. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Maegen Mandeville located?

Maegen Mandeville practices at 5130 Coolidge Hwy, Royal Oak, MI 48073. The listed phone number is (248) 288-9500.

What is Maegen Mandeville's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maegen Mandeville enrolled in Medicare?

Yes. Maegen Mandeville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maegen Mandeville accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Maegen Mandeville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maegen Mandeville was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.