Bridget Mangan, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Charlottesville, Virginia. Her current practice location is
2955 Ivy Rd Ste 304, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 243-4570.
Bridget Mangan is licensed to practice in Virginia (license number 0024190040) 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 1063267920.
Physician's Profile
| Full Name | Bridget Mangan |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2955 Ivy Rd Ste 304, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063267920
- Provider Enumeration Date: 04/23/2024
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123469350
- Enrollment ID: I20240517003448
Medical Identifiers
Medical identifiers for Bridget Mangan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063267920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 0024190040 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0024190040 (Virginia) | 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. Bridget Mangan allows following entities to bill medicare on her behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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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. Bridget Mangan 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 |
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Bridget Mangan, CNM
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Bridget Mangan, CNM
2955 Ivy Rd Ste 304,
Charlottesville, VA 22903-9353
Ph: (434) 243-4570 |
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