Ms Jody L Mangum, LAC is a
Acupuncturist based in Crescent City, California. Ms Jody L Mangum is licensed to practice in California (license number AC7529) and her current practice location is
625 F St, Crescent City, California. She can be reached at her office (for appointments etc.) via phone at
(707) 487-4444.
NPI number for Ms Jody L Mangum is 1548387616 and her current mailing address is 361 9th St, Crescent City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548387616.
Healthcare Provider's Profile
| Full Name | Ms Jody L Mangum |
|---|
| Gender | Female |
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| Speciality | Acupuncturist |
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| Location | 625 F St, Crescent City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548387616
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 10/07/2015
Medical Identifiers
Medical identifiers for Ms Jody L Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548387616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC7529 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jody L Mangum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jody L Mangum, LAC
361 9th St,
Crescent City, CA 95531-3433
Ph: (707) 487-4444 | Ms Jody L Mangum, LAC
625 F St,
Crescent City, CA 95531-3732
Ph: (707) 487-4444 |
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