Kim P Mangham, MD in Keller, TX - Medicare Pediatrics

Kim P Mangham, MD is a medicare enrolled "Pediatrics" physician in Keller, Texas. Her current practice location is 1601 Keller Pkwy, Keller, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 431-1450.

Kim P Mangham is licensed to practice in Texas (license number L3741) 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 1427130749.

Contact Information

	Kim P Mangham, MD
	1601 Keller Pkwy, Keller, TX 76248-3703
	(817) 431-1450
	(817) 431-0424

Map and Direction

Physician's Profile

Full Name	Kim P Mangham
Gender	Female
Speciality	Pediatrics
Location	1601 Keller Pkwy, Keller, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427130749
Provider Enumeration Date: 10/19/2006
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 2163493222
Enrollment ID: I20040803000458

Medical Identifiers

Medical identifiers for Kim P Mangham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427130749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	L3741 (Texas)	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. Kim P Mangham allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Kim P Mangham 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
Kim P Mangham, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	Kim P Mangham, MD 1601 Keller Pkwy, Keller, TX 76248-3703 Ph: (817) 431-1450

Reviews and Comments

Pediatrics Doctors in Keller, TX

Jiny Elizabeth Coronado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10601 N Riverside Dr, Keller, TX 76244 Phone: 817-347-2600 Fax: 817-347-2670
Sara Y Garza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Keller Pkwy, Keller, TX 76248 Phone: 817-431-1450 Fax: 817-431-0424
Catherine F Hampton, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Keller Pkwy, Keller, TX 76248 Phone: 817-431-1450 Fax: 817-431-0424
Anjanette Moore Selzer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 230 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-337-5503
Rochelle Annette Benson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10601 N Riverside Dr, Keller, TX 76244 Phone: 817-347-2600 Fax: 817-347-2670
Dr. Omar A. Gomez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 230 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-337-5503 Fax: 817-337-0110

Kim P Mangham, MD - Medicare Pediatrics in Keller, TX