Michael Ross Mangum, in Phoenix, AZ

Michael Ross Mangum, is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Phoenix, Arizona. His current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 933-1000.

Michael Ross Mangum is licensed to practice in Arizona (license number 61621) 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 1891112108.

Contact Information

	Michael Ross Mangum,
	1919 E Thomas Rd, Phoenix, AZ 85016-7710
	(602) 933-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Ross Mangum
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891112108
Provider Enumeration Date: 03/25/2014
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7012218647
Enrollment ID: I20200911001347

Medical Identifiers

Medical identifiers for Michael Ross Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891112108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	57.000000 (Ohio)	Secondary
208D00000X	General Practice	61621 (Arizona)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	61621 (Arizona)	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. Michael Ross Mangum allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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. Michael Ross 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 Address	Practice Location Address
Michael Ross Mangum, 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124	Michael Ross Mangum, 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-1000

Reviews and Comments

Pediatrics Doctors in Phoenix, AZ

Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000
Alexandra Palacios, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945
Dr. Salil V. Pradhan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5404 Fax: 602-344-5859

Michael Ross Mangum, - Medicare Pediatrics in Phoenix, AZ