Dametra Mangum, FNP in Flowood, MS - Medicare Nurse Practitioner

Dametra Mangum, FNP is a medicare enrolled "Nurse Practitioner - Family" in Flowood, Mississippi. Her current practice location is 232 Market St Ste 259, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 310-9784.

Dametra Mangum is licensed to practice in Mississippi (license number 905487) 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 1740904846.

Contact Information

	Dametra Mangum, FNP
	232 Market St Ste 259, Flowood, MS 39232-3339
	(601) 310-9784
	Not Available

Map and Direction

Provider's Profile

Full Name	Dametra Mangum
Gender	Female
Speciality	Nurse Practitioner - Family
Location	232 Market St Ste 259, Flowood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740904846
Provider Enumeration Date: 10/03/2022
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5597103705
Enrollment ID: I20240408001704

Medical Identifiers

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

Identifier	Type	State	Issuer
1740904846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905487 (Mississippi)	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. Dametra Mangum allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Dametra 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
Dametra Mangum, FNP 1252 West Government Street, P.o. Box 2336, Brandon, MS 39042-8987 Ph: () -	Dametra Mangum, FNP 232 Market St Ste 259, Flowood, MS 39232-3339 Ph: (601) 310-9784

Reviews and Comments

Nurse Practitioner Nurses in Flowood, MS

Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151
Jane Denton Desper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151

Dametra Mangum, FNP - Medicare Nurse Practitioner in Flowood, MS