Krystal Penman Mangandi, LCSW in Charlotte, NC - Medicare Social Worker Provider

Krystal Penman Mangandi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is 5855 Executive Center Dr, Suite 111, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 537-1202.

Krystal Penman Mangandi is licensed to practice in North Carolina (license number C008071) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417201989.

Contact Information

	Krystal Penman Mangandi, LCSW
	5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883
	(704) 537-1202
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krystal Penman Mangandi
Gender	Female
Speciality	Social Worker - Clinical
Location	5855 Executive Center Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417201989
Provider Enumeration Date: 11/05/2012
Last Update Date: 03/19/2013

Medicare PECOS Information:

PECOS PAC ID: 7416322573
Enrollment ID: I20230404000931

Medical Identifiers

Medical identifiers for Krystal Penman Mangandi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417201989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C008071 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krystal Penman Mangandi allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

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. Krystal Penman Mangandi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Krystal Penman Mangandi, LCSW 5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883 Ph: (704) 537-1202	Krystal Penman Mangandi, LCSW 5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883 Ph: (704) 537-1202

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Krystal Penman Mangandi, LCSW - Medicare Clinical Social Worker in Charlotte, NC