Maribeth Terasa Mandall, PA-C
Physician Assistant in Durham, NC. Individual provider (NPI-1).
NPI number1013348945
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1013348945
- Entity type
- Individual (NPI-1)
- Name
- Maribeth Terasa Mandall
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2013
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-06461 | NC | Yes |
Practice location
Marshall Pickins Clinic2100 Erwin Road, Box 3886, Dumc
Durham, NC 27710-0000
Phone 919-681-1601
Mailing address
2100 Erwin RdDurham, NC 27705-3941
Phone 919-684-6721 · Fax 919-681-7085
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