Amy Mangum, LOTR - Medicare Counselor in Portland, OR

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Amy Mangum, LOTR is a medicare enrolled "Occupational Therapist" provider in Portland, Oregon. Her current practice location is 1815 Sw Marlow Ave Ste 110, 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 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 1134766108.

Contact Information

Amy Mangum, LOTR
1815 Sw Marlow Ave Ste 110,
Portland, OR 97225-5186
(503) 292-0765
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameAmy Mangum
GenderFemale
SpecialityOccupational Therapist
Location1815 Sw Marlow Ave Ste 110, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134766108
  • Provider Enumeration Date: 12/09/2019
  • Last Update Date: 09/03/2024
  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.
IdentifierTypeStateIssuer
1134766108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
225X00000XOccupational Therapist 402335 (Oregon)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. Amy Mangum allows following entities to bill medicare on her behalf.
Entity NameProgressive Rehabilitation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Amy Mangum, LOTR
5424 Ne 41st Ave,
Portland, OR 97211-8045

Ph: () -		Amy Mangum, LOTR
1815 Sw Marlow Ave Ste 110,
Portland, OR 97225-5186

Ph: (503) 292-0765

Reviews and Comments


Occupational Therapist in Portland, OR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.