Kiran A Mangalam, DO - Medicare Neuromusculoskeletal Medicine & OMM in Waterville, ME

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Kiran A Mangalam, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Waterville, Maine. His current practice location is 149 North St, Waterville, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 861-5101.

Kiran A Mangalam is licensed to practice in Maine (license number 2144) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528175312.

Contact Information

Kiran A Mangalam, DO
149 North St,
Waterville, ME 04901-4974
(207) 861-5101
(207) 872-4341

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Physician's Profile

Full NameKiran A Mangalam
GenderMale
SpecialityNeuromusculoskeletal Medicine & Omm
Location149 North St, Waterville, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528175312
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 05/31/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5294822102
  • Enrollment ID: I20091228000394

Medical Identifiers

Medical identifiers for Kiran A Mangalam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528175312NPI-NPPES
MM7302OtherMEDICARE ID - GROUP
432682599MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2144 (Maine)Secondary
204D00000XNeuromusculoskeletal Medicine & Omm 2144 (Maine)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. Kiran A Mangalam allows following entities to bill medicare on his behalf.
Entity NameMainegeneral Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669423380
PECOS PAC ID: 1254245715
Enrollment ID: O20031118000718

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. Kiran A Mangalam 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
Kiran A Mangalam, DO
149 North St,
Waterville, ME 04901-4974

Ph: (207) 861-5101		Kiran A Mangalam, DO
149 North St,
Waterville, ME 04901-4974

Ph: (207) 861-5101

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.