Manmade Group LLC
A Medicare group practice based in Maryville, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941796080), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0941796080
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MT, TN
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20251229001442 | MT | Part B Supplier - Clinic/Group Practice | 1619613270 |
| O20260306000676 | TN | Part B Supplier - Clinic/Group Practice | 1356180483 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Manmade Group LLC
- Mental Health Counselor
- Maryville, TN
- NPI 1356180483
-
Manmade Group LLC
- Mental Health Counselor
- Bozeman, MT
- NPI 1619613270
Practice locations
- Bozeman, MT1
- Maryville, TN1
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Amanda Lin Mills, LCSW
- Clinical Social Worker
- Knoxville, TN
- NPI 1194169839
-
Glen Howard Stark
- Professional Counselor
- Bozeman, MT
- NPI 1083486211
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.