MISS REBECCA MANDEL (PA) – Physician Assistant, NPI 1124416003

MISS REBECCA MANDEL (PA) is a healthcare provider. based in Hollywood, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9113620 (FL). The NPI Number for MISS REBECCA MANDEL (PA) is 1124416003

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MISS REBECCA MANDEL (PA)
NPI
1124416003
Phone
(954) 983-5533
Address
4340 SHERIDAN ST STE 101
Enumeration Date
31 December 2014
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549835533
Graduation Year
2014 (12 years ago)
PAC ID
3678879079
Group Practice PAC ID
1759284847
Professional Enrollment ID
I20201201002732
Address ID
FL330213567HO4340XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MISS REBECCA MANDEL (PA)

  • 4340 SHERIDAN ST STE 101

    HOLLYWOOD, FL 330213567

    Phone: (954) 983-5533

    Type: Location

  • 3198 GRAND CONCOURSE

    BRONX, NY 104581000

    Phone: (718) 618-0401

    Fax: (718) 795-4394

    Type: Mailing

  • 2015 GRAND CONCOURSE

    BRONX, NY 104534303

    Phone: (718) 299-7295

    Fax: (718) 299-6797

    Type: Location

  • 6550 N FEDERAL HWY STE 320

    FORT LAUDERDALE, FL 333081400

    Phone: (954) 500-7546

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $663.

Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: ABBVIE INC. ($374).

Total Amount

$663

General + Research + Ownership

Payments

40

Total payment records

General Amount

$663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160310002239IPhysician AssistantNYTBD
I20201201002732IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg7,20027$0
17003Destruction of precancer skin growth, 2-14 growths884131$0
17000Destruction of precancer skin growth, 1 growth272186$0
99213Established patient office or other outpatient visit, 20-29 minutes245180$0
99214Established patient office or other outpatient visit, 30-39 minutes176133$0
View full utilization report →

Insurance plans in this area (ZIP 33021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759284847View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantNY
-FL
P A T H O L O G YFL
-FL
-FL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
-FL

Reviews

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Frequently asked questions

What federal number belongs to MISS REBECCA MANDEL (PA)?
The federal identifier for MISS REBECCA MANDEL (PA) is NPI 1124416003.
Does this profile mean MISS REBECCA MANDEL (PA) is currently active?
Yes — MISS REBECCA MANDEL (PA) appears active in the national provider directory.
Does MISS REBECCA MANDEL (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for MISS REBECCA MANDEL (PA). Clinical services aligned with this taxonomy classification.
What location shows for MISS REBECCA MANDEL (PA)?
We surface Hollywood, Florida for MISS REBECCA MANDEL (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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