Jessica Colleen Mangonon, MD in Irvine, CA

Jessica Colleen Mangonon, MD is a medicare enrolled "Pediatrics" physician in Irvine, California. Her current practice location is 16300 Sand Canyon Ave, #811, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 753-9000.

Jessica Colleen Mangonon is licensed to practice in California (license number A128287) 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 1962769968.

Contact Information

	Jessica Colleen Mangonon, MD
	16300 Sand Canyon Ave, #811, Irvine, CA 92618-3711
	(949) 753-9000
	(949) 753-5044

Map and Direction

Physician's Profile

Full Name	Jessica Colleen Mangonon
Gender	Female
Speciality	Pediatrics
Location	16300 Sand Canyon Ave, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962769968
Provider Enumeration Date: 04/13/2012
Last Update Date: 06/01/2017

Medicare PECOS Information:

PECOS PAC ID: 0547580599
Enrollment ID: I20150515000001

Medical Identifiers

Medical identifiers for Jessica Colleen Mangonon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962769968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A128287 (California)	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. Jessica Colleen Mangonon allows following entities to bill medicare on her behalf.

Entity Name	University Of California Irvine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Hoag Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936

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. Jessica Colleen Mangonon 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
Jessica Colleen Mangonon, MD 16300 Sand Canyon Ave, #811, Irvine, CA 92618-3711 Ph: (949) 753-9000	Jessica Colleen Mangonon, MD 16300 Sand Canyon Ave, #811, Irvine, CA 92618-3711 Ph: (949) 753-9000

Reviews and Comments

Pediatrics Doctors in Irvine, CA

Dr. Marnie Baker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Barranca Pkwy Ste 170, Irvine, CA 92604 Phone: 949-551-1090 Fax: 949-262-5500
Dr. Manpreet Kaur Sarna, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18 Endeavor Ste 101, Irvine, CA 92618 Phone: 949-509-9915 Fax: 949-509-1116
Jeffrey G Lobas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 313 Tall Oak, Irvine, CA 92603 Phone: 480-789-1819
Dr. Neerja Tina Zand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Ashford, Irvine, CA 92618 Phone: 949-786-0414
Dr. Daniel Joseph Otterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Drive, Irvine, CA 92697 Phone: 949-824-8600
Dr. Grady B Huckaby Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Barranca Pkwy, Suite 270, Irvine, CA 92604 Phone: 949-559-5601 Fax: 949-559-7115
Dr. Renee Stein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81 Linhaven, Irvine, CA 92602 Phone: 714-368-0655

Jessica Colleen Mangonon, MD - Medicare Pediatrics in Irvine, CA