Teresa P Mann, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9729 Issued in MT

Practice address

2233 W Kagy Blvd Ste 2
Bozeman, MT 59718-5938

Phone

(406) 586-7873

Fax

(406) 586-2332

NPI assigned

Aug 30, 2006

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Washington School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teresa Mann MD PCGroup PAC ID 2860735024, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teresa Mann, M.D., P.C.

  dba Pure Dermatology

  • Dermatology Physician
  • Bozeman, MT
  • NPI 1255751707
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1174632277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W KAGY BLVD STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185938",
            "telephone_number": "406-586-7873",
            "fax_number": "406-586-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W KAGY BLVD STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185938",
            "telephone_number": "406-586-7873",
            "fax_number": "406-586-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "TERESA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "9729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raelynn Malson, DPT
• Mango Beetle Counseling LLC
• Victoria Christine Manik, LMFT
• Manmade Group LLC (ManMade Mentors)
• Orville H Mann III, MD
• Adam James Manninen, DC
• Brianne Racine Manninen, L.AC.
• Kathryn Frances Manning, M.S., CCC-SLP
• Marc F Comaratta MD PC
• Pamela Jean Marcella, PTA

• Dermatology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.