Dr Charlita Mangrum, MD | |
1021 W Hamlet Ave, Suite#5, Hamlet, NC 28345-4523 | |
(910) 582-5166 | |
(910) 582-5168 |
Full Name | Dr Charlita Mangrum |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 36 Years |
Location | 1021 W Hamlet Ave, Hamlet, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982693826 | NPI | - | NPPES |
89016EO | Other | NC | CAROLINA ACCESS |
89138KX | Medicaid | NC | |
138KX | Other | NC | BCBS INDIV |
P00687321 | Other | NC | RR MEDICARE |
P00267476 | Other | NC | RAILROAD MEDICARE |
N01535 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200401535 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Home Care & Hospice | Fayetteville, NC | Hospice |
Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcpc-7 Llc | 9739341066 | 7 |
Entity Name | Mcpc-2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962737452 PECOS PAC ID: 1254473630 Enrollment ID: O20100122000627 |
Entity Name | Mcpc-7 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881968709 PECOS PAC ID: 9739341066 Enrollment ID: O20120503000387 |
Entity Name | Mcpc-8 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922552322 PECOS PAC ID: 3870740012 Enrollment ID: O20120823000423 |
Entity Name | Mcpc-16 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114351095 PECOS PAC ID: 4082841465 Enrollment ID: O20131210000462 |
Entity Name | Fhpg Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336154129 PECOS PAC ID: 9537481569 Enrollment ID: O20141202002644 |
Entity Name | Mcpc-17 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518312073 PECOS PAC ID: 5395030159 Enrollment ID: O20160818002018 |
Mailing Address | Practice Location Address |
---|---|
Dr Charlita Mangrum, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840 | Dr Charlita Mangrum, MD 1021 W Hamlet Ave, Suite#5, Hamlet, NC 28345-4523 Ph: (910) 582-5166 |
Lauren J Wagstaff, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 W Hamlet Ave, Suite 5, Hamlet, NC 28345 Phone: 910-582-5166 | |
Melva Richardson Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 W Main St Ste A, Hamlet, NC 28345 Phone: 910-582-2696 Fax: 910-582-2640 |