Amy Mangum, LOTR in Portland, OR - Medicare Occupational Therapist In Private Practice Provider

Amy Mangum, LOTR is a medicare enrolled "Occupational Therapist" provider in Portland, Oregon. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Progressive Rehabilitation Associates Llc and her current practice location is 4640 S Macadam Ave Ste 90, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 292-0765.

Amy Mangum is licensed to practice in Oregon (license number 402335) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134766108.

Contact Information

	Amy Mangum, LOTR
	4640 S Macadam Ave Ste 90, Portland, OR 97239-4285
	(503) 292-0765
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Mangum
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	8 Years
Location	4640 S Macadam Ave Ste 90, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy Mangum graduated from medical school in 2018

NPI Data:

NPI Number: 1134766108
Provider Enumeration Date: 12/09/2019
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 9830630169
Enrollment ID: I20240926000442

Medical Identifiers

Medical identifiers for Amy Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134766108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	402335 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Progressive Rehabilitation Associates Llc	3476547258	5

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. Amy Mangum allows following entities to bill medicare on her behalf.

Entity Name	Progressive Rehabilitation Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790760908 PECOS PAC ID: 3476547258 Enrollment ID: O20040413001850

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. Amy Mangum 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
Amy Mangum, LOTR 5424 Ne 41st Ave, Portland, OR 97211-8045 Ph: () -	Amy Mangum, LOTR 4640 S Macadam Ave Ste 90, Portland, OR 97239-4285 Ph: (503) 292-0765

Amy Mangum, LOTR - Medicare Counselor in Portland, OR