Jadeka Motley Mangrum, PMHNP in Greensboro, NC

Jadeka Motley Mangrum, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Greensboro, North Carolina. Her current practice location is 700 Walter Reed Dr, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 210-5641.

Jadeka Motley Mangrum is licensed to practice in North Carolina (license number 5018483) 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 1407536956.

Contact Information

	Jadeka Motley Mangrum, PMHNP
	700 Walter Reed Dr, Greensboro, NC 27403-1128
	(336) 210-5641
	Not Available

Map and Direction

Provider's Profile

Full Name	Jadeka Motley Mangrum
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	700 Walter Reed Dr, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407536956
Provider Enumeration Date: 07/19/2023
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9830545326
Enrollment ID: I20231019000535

Medical Identifiers

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

Identifier	Type	State	Issuer
1407536956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5018483 (North Carolina)	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. Jadeka Motley Mangrum allows following entities to bill medicare on her behalf.

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031230000300

Entity Name	Alamance Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326010273 PECOS PAC ID: 5294647145 Enrollment ID: O20040504000878

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. Jadeka Motley 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
Jadeka Motley Mangrum, PMHNP 700 Glendale Dr Apt H, Greensboro, NC 27406-6469 Ph: (362) 105-6413	Jadeka Motley Mangrum, PMHNP 700 Walter Reed Dr, Greensboro, NC 27403-1128 Ph: (336) 210-5641

Reviews and Comments

Nurse Practitioner Nurses in Greensboro, NC

Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave Ste 311, Greensboro, NC 27401 Phone: 336-272-6161
Mrs. Natalie Metts Stroud, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 201, Greensboro, NC 27401 Phone: 336-378-0713
Lindsi Ahearn, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Pisgah Church Rd, Greensboro, NC 27455 Phone: 336-716-9150
Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510
Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 Dolley Madison Rd Ste 100, Greensboro, NC 27410 Phone: 336-632-3505
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731
Mrs. Dinah Chebotip Ngetich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Elm St, Greensboro, NC 27401 Phone: 336-544-5400

Jadeka Motley Mangrum, PMHNP - Medicare Nurse Practitioner in Greensboro, NC