Brandi Mangan, FNP-C | |
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
(270) 798-8372 | |
Not Available |
Full Name | Brandi Mangan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 650 Joel Dr, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578164760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 27196 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3014404 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indianapolis Gastroenterology Llc | 0244201432 | 16 |
Entity Name | Indianapolis Gastroenterology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518964493 PECOS PAC ID: 0244201432 Enrollment ID: O20040802001561 |
Mailing Address | Practice Location Address |
---|---|
Brandi Mangan, FNP-C 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8372 | Brandi Mangan, FNP-C 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8372 |
Mrs. Denise L Jones, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-4677 | |
Dr. Michael D Haight, D.C., FNP, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-6555 | |
Mr. Tracy Lynn Saboy, MSN, ANP-BC, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
Mrs. Jessica Elaine Lietz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Leslie Marvene Gallon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-461-2868 | |
Ute Poepsel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Blanchfield Ach, Credentialing Office - Room 1eb01, Fort Campbell, KY 42223 Phone: 270-412-8983 Fax: 270-461-0243 | |
Mr. Patrick W Crook, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8106 |