Kevin Mangum, DO | |
6095 S Fashion Blvd Ste 220, Murray, UT 84107-7393 | |
(801) 758-8735 | |
(801) 769-2092 |
Full Name | Kevin Mangum |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 6095 S Fashion Blvd Ste 220, Murray, Utah |
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 |
---|---|---|---|
1609140847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 8164477-1204 (Utah) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 8164477-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Primary Healthcare, Pllc | 5092187617 | 2 |
Entity Name | University Of Utah Community Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
Entity Name | Primary Healthcare, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700503182 PECOS PAC ID: 5092187617 Enrollment ID: O20230208001581 |
Mailing Address | Practice Location Address |
---|---|
Kevin Mangum, DO 6095 S Fashion Blvd Ste 220, Murray, UT 84107-7393 Ph: (801) 758-8735 | Kevin Mangum, DO 6095 S Fashion Blvd Ste 220, Murray, UT 84107-7393 Ph: (801) 758-8735 |
Khalid Hararah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 688 E Vine St Ste 16, Murray, UT 84107 Phone: 801-509-9138 Fax: 801-797-0237 | |
Lindsay Helm, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 E Myrtle Ave Ste 204, Murray, UT 84107 Phone: 801-369-8989 Fax: 801-704-9741 | |
Carl Edward Wyne, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5770 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4544 | |
Dr. Marshall Nickel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5505 S 900 E Ste 240, Murray, UT 84117 Phone: 801-783-5011 Fax: 801-746-3734 | |
Dr. Franz Medina Monroy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 E Medical Tower Dr, Murray, UT 84107 Phone: 801-314-4266 | |
Alexis Gunderson, Family Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Chase Sessions, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 305, Murray, UT 84107 Phone: 801-507-9310 |