Dr Erik Legrand Mangelson, DDS is a
Student In An Organized Health Care Education/training Program based in Iowa City, Iowa. Dr Erik Legrand Mangelson is licensed to practice in Iowa (license number RES-30630) and his current practice location is
200 Hawkins Dr, Iowa City, Iowa. He can be reached at his office (for appointments etc.) via phone at
(319) 356-7339.
NPI number for Dr Erik Legrand Mangelson is 1497493142 and his current mailing address is 51300 Pomerantz Family Pavilion, Iowa City, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497493142.
Healthcare Provider's Profile
| Full Name | Dr Erik Legrand Mangelson |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 200 Hawkins Dr, Iowa City, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497493142
- Provider Enumeration Date: 05/23/2022
- Last Update Date: 07/22/2022
Medical Identifiers
Medical identifiers for Dr Erik Legrand Mangelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497493142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | RES-30630 (Iowa) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | RES-30630 (Iowa) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RES-30630 (Iowa) | 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. Dr Erik Legrand Mangelson 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 |
|---|
Dr Erik Legrand Mangelson, DDS
51300 Pomerantz Family Pavilion,
Iowa City, IA 52242-1049
Ph: (193) 356-2205 | Dr Erik Legrand Mangelson, DDS
200 Hawkins Dr,
Iowa City, IA 52242-1009
Ph: (319) 356-7339 |
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