Charles E Mangum, MD | |
7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088-9322 | |
(972) 526-0340 | |
(972) 996-1857 |
Full Name | Charles E Mangum |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 33 Years |
Location | 7501 Lakeview Pkwy, Rowlett, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982666210 | NPI | - | NPPES |
P00295238 | Other | TX | RAILROAD MEDICARE |
8BX668 | Other | TX | BLUE CROSS BLUE SHIELD |
117454204 | Medicaid | TX | |
117454205 | Medicaid | TX | |
8U7632 | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | J3349 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Presbyterian Hospital Rockwall | Rockwall, TX | Hospital |
Nacogdoches Medical Center | Nacogdoches, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Texas Pathology Services Pa | 0244302057 | 5 |
North Texas Pathology Assoc., Pa | 1557375649 | 5 |
Entity Name | North Texas Pathology Assoc., Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992766356 PECOS PAC ID: 1557375649 Enrollment ID: O20060127000298 |
Entity Name | North Texas Pathology Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093984122 PECOS PAC ID: 0244302057 Enrollment ID: O20080710000226 |
Mailing Address | Practice Location Address |
---|---|
Charles E Mangum, MD Po Box 226, Rowlett, TX 75030-0226 Ph: (972) 526-0340 | Charles E Mangum, MD 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088-9322 Ph: (972) 526-0340 |
Oscar Adolfo Roncal, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6800 Scenic Dr, Rowlett, TX 75088 Phone: 972-535-2946 | |
Michael Nicholas Feliciano, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088 Phone: 972-526-0340 Fax: 972-996-1857 | |
Melissa Dawn Gordon, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088 Phone: 972-526-0340 Fax: 972-996-1857 | |
Collin J O'hara, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088 Phone: 972-526-0340 Fax: 972-996-1857 | |
Dr. Seth W Cook, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088 Phone: 972-526-0340 Fax: 972-996-1857 | |
Yan Hillel Lemeshev, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088 Phone: 972-526-0340 Fax: 972-996-1857 | |
Deborah Sue Hilton, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088 Phone: 972-526-0340 Fax: 972-996-1857 |