Ajay Kumar Mangal, MD is a medicare enrolled "Otolaryngology" physician in Lake Wales, Florida. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Osceola Surgical Associates Llc and his current practice location is
423 Linden Ln, Lake Wales, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 676-1960.
Ajay Kumar Mangal is licensed to practice in Florida (license number ME 110058) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669706347.
Physician's Profile
| Full Name | Ajay Kumar Mangal |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 40 Years |
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| Location | 423 Linden Ln, Lake Wales, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ajay Kumar Mangal attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1984
NPI Data:
- NPI Number: 1669706347
- Provider Enumeration Date: 09/28/2009
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082507173
- Enrollment ID: I20111018000387
Medical Identifiers
Medical identifiers for Ajay Kumar Mangal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669706347 | NPI | - | NPPES |
| 0740658 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 35.054717 (Ohio) | Secondary |
| 207Y00000X | Otolaryngology | 036-124396 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | ME 110058 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Osceola Surgical Associates Llc | 0840366126 | 37 |
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. Ajay Kumar Mangal allows following entities to bill medicare on his behalf.
| Entity Name | Osceola Surgical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578723540
PECOS PAC ID: 0840366126
Enrollment ID: O20080910000554 |
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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. Ajay Kumar Mangal 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 |
|---|
Ajay Kumar Mangal, MD
423 Linden Ln,
Lake Wales, FL 33853-4342
Ph: (863) 676-1960 | Ajay Kumar Mangal, MD
423 Linden Ln,
Lake Wales, FL 33853-4342
Ph: (863) 676-1960 |
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