Dr Mary Jane Mangen, MD | |
725 S Shoop Ave, Wauseon, OH 43567-1702 | |
(419) 335-2015 | |
(419) 330-2774 |
Full Name | Dr Mary Jane Mangen |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 725 S Shoop Ave, Wauseon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205882263 | NPI | - | NPPES |
0860733 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 35058814 (Ohio) | Primary |
Entity Name | Fchc Medical Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598821175 PECOS PAC ID: 8022018704 Enrollment ID: O20070103000005 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Jane Mangen, MD 725 S Shoop Ave, Wauseon, OH 43567-1702 Ph: (419) 335-2015 | Dr Mary Jane Mangen, MD 725 S Shoop Ave, Wauseon, OH 43567-1702 Ph: (419) 335-2015 |
Benjamin Timothy Forrester, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-335-2015 | |
Dr. George R Williams Iii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-335-2015 Fax: 419-330-2649 | |
Dr. Stephen Andrew Cox, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-330-2774 Fax: 419-330-2774 |