Kimberly Mangum, APRN - Medicare Nurse Practitioner in Lake Mary, FL

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Kimberly Mangum, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Lake Mary, Florida. Her current practice location is 725 Rodel Cv, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 635-3023.

Kimberly Mangum is licensed to practice in Florida (license number APRN11030653) 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 1437913712.

Contact Information

Kimberly Mangum, APRN
725 Rodel Cv,
Lake Mary, FL 32746-4859
(407) 635-3023
Not Available

Map and Direction




Physician's Profile

Full NameKimberly Mangum
GenderFemale
SpecialityNurse Practitioner - Family
Location725 Rodel Cv, Lake Mary, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437913712
  • Provider Enumeration Date: 02/07/2024
  • Last Update Date: 02/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688019649
  • Enrollment ID: I20240229001024

Medical Identifiers

Medical identifiers for Kimberly Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437913712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11030653 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN11030653 (Florida)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. Kimberly Mangum allows following entities to bill medicare on her behalf.
Entity NameOrlando Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429577
PECOS PAC ID: 9537059084
Enrollment ID: O20040318000044
Entity NameOrlando Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568693554
PECOS PAC ID: 7719026251
Enrollment ID: O20091123000506

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. Kimberly Mangum 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 AddressPractice Location Address
Kimberly Mangum, APRN
303 Hickory Dr,
Longwood, FL 32779-2423

Ph: (407) 451-8228		Kimberly Mangum, APRN
725 Rodel Cv,
Lake Mary, FL 32746-4859

Ph: (407) 635-3023

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.