Jeffrey S Mandak, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · MC Connellsburg, PA
NPI 1386645232 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1386645232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD050576L (PA)
- Practice address
- 214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559 - Phone
- (717) 485-2871
- Fax
- (717) 485-2830
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Perelman School of Med at the University of Pennsylvania, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Pinnacle Health Cardiovascular Institute Inc
Fulton County Medical Center
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557
622 Water St
FCMC Rehab SVC Hun
Orbisonia, PA 17243-9424
Phone (814) 447-3062
Hospital & facility affiliations
- Fulton County Medical Center
- Wellspan Chambersburg Hospital
- Upmc Pinnacle Hospitals
- Wellspan Waynesboro Hospital
- Wellspan York Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.96 of 100
- Quality
- 89.63
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.91
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.6 of 100
- Quality
- 70.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050601000654 | PA | Practitioner - Cardiovascular Disease (Cardiology) |
8224926910 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulton County Medical Center | Current |
Accepting new patients | |
| Fulton County Medical Center | Current |
Accepting new patients | |
| Fulton County Medical Center | Current |
Accepting new patients | |
| Cumberland Pathology Associates, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
622 Water St
Orbisonia, PA 17243
Phone (814) 447-3062
622 Water St
Ste 1
Orbisonia, PA 17243
Interoperability endpoints
- jeffreymandak@fcmcpa.medentdirect.com
- jmandak2051197@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD050576L | PA | Yes |
Addresses
Primary practice location
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Mailing address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-2871
Other practice location 1
622 Water St
Orbisonia, PA 17243-9424
Phone (717) 485-2871
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001473101 | Medicaid | PA |
Other providers in MC Connellsburg, PA
- Lesley Kuhn
- Megan Marie Lear
- Jessica Lee Little
- Jarett Logsdon
- Macdonalds Professional Services LLC
- Bridgit Rachel Martin
- Amanda McAtee
- Toby McCarty
- McConnellsburg Volunteer Fire
- Ryan Joseph McFague
All providers in MC Connellsburg, PA · Cardiovascular Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.