Active NPI
Marc Joseph Mancinelli, D.O.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- OS014383
- Practice address
- 215 Holland St
Erie, PA 16507-1526 - Phone
- (814) 877-3018
- Fax
- (814) 877-7469
- NPI assigned
- Mar 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | OS014383 | PA | Primary |
| Emergency Medicine Physician | 207P00000X | OS014383 | PA |
Addresses
Primary practice location
215 Holland St
Erie, PA 16507-1526
Mailing address
215 Holland St
Erie, PA 16507-1526
Phone (814) 877-3018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Western University of Health Sciences College of Dental Med, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
215 Holland St
Erie, PA 16507-1526
Phone (814) 877-3018
3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381
Hospital & facility affiliations
- Upmc Hamot
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 219 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Physician Practice PC | Emergency Medicine | Current | Accepting new patients |
| Jamestown Area Medical Associates, L.L.P. | Current | Accepting new patients | |
| Regional Health Services Inc | Emergency Medicine | Current | Accepting new patients |
| Penn North Centers for Advanced Wound Care PC | Past | Accepting new patients |
Locations
15 S Main St
Ste 120
Jamestown, NY 14701
Phone (716) 488-1877
15 S Main St
Ste 150
Jamestown, NY 14701
Phone (716) 483-6700
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
215 Holland St
Erie, PA 16507
Phone (814) 453-5058
2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
Interoperability endpoints
- marc.j.mancinelli@upmcdirect.com
- mmancinelli160622@upmc.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
Emergency Medicine
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
-
- Surgery Physician
- Erie, PA
- NPI 1003897307
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464998400000",
"number": "1962643882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HOLLAND ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071526",
"telephone_number": "814-877-3018",
"fax_number": "814-877-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HOLLAND ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071526",
"telephone_number": "814-877-3018",
"fax_number": "814-877-7469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINELLI",
"first_name": "MARC",
"middle_name": "JOSEPH",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2016-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "PA",
"license": "OS014383",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS014383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; 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.