Aliyah Mangrum, in Waldorf, MD - Medicare Physician Assistant

Aliyah Mangrum, is a medicare enrolled "Physician Assistant" in Waldorf, Maryland. Her current practice location is 3328 Old Washington Rd, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 932-4954.

Aliyah Mangrum is licensed to practice in Maryland (license number C0007891) 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 1407431893.

Contact Information

	Aliyah Mangrum,
	3328 Old Washington Rd, Waldorf, MD 20602-3204
	(301) 932-4954
	Not Available

Map and Direction

Provider's Profile

Full Name	Aliyah Mangrum
Gender	Female
Speciality	Physician Assistant
Location	3328 Old Washington Rd, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407431893
Provider Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2365809845
Enrollment ID: I20230530001364

Medical Identifiers

Medical identifiers for Aliyah Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407431893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0007891 (Maryland)	Primary

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. Aliyah Mangrum 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
Aliyah Mangrum, 100 I St Se Apt 219, Washington, DC 20003-4853 Ph: () -	Aliyah Mangrum, 3328 Old Washington Rd, Waldorf, MD 20602-3204 Ph: (301) 932-4954

Reviews and Comments

Physician Assistant Nurses in Waldorf, MD

Mrs. Chinyere Ngozi Eze, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11750 Business Park Dr, Suite 103, Waldorf, MD 20601 Phone: 240-419-3865
Jennifer Hilfiker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Post Office Rd Ste C, Waldorf, MD 20602 Phone: 301-645-8322
Kristen Elise Lohr, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 12090 Old Line Centre, Waldorf, MD 20602 Phone: 301-843-3888 Fax: 301-870-6838
Lilli Elizabeth Conner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12070 Old Line Ctr Ste 303, Waldorf, MD 20602 Phone: 301-645-5100
Ili Wathen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2855 Crain Hwy, Waldorf, MD 20601 Phone: 240-427-1926
Janelle A Shah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2960 Technology Pl Ste 103, Waldorf, MD 20601 Phone: 855-527-7246 Fax: 866-229-5063
Denise Smith Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12101 Old Line Ctr, Waldorf, MD 20602 Phone: 301-843-2223 Fax: 301-705-9720

Aliyah Mangrum, - Medicare Physician Assistant in Waldorf, MD