Jessie T Mangs, PA is a medicare enrolled "Physician Assistant - Medical" in Litchfield, Connecticut. Her current practice location is
481 Bantam Rd, Litchfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 567-1263.
Jessie T Mangs is licensed to practice in Connecticut (license number ) 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 1548733140.
Provider's Profile
Full Name | Jessie T Mangs |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 481 Bantam Rd, Litchfield, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548733140
- Provider Enumeration Date: 01/07/2019
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284067299
- Enrollment ID: I20191205001401
Medical Identifiers
Medical identifiers for Jessie T Mangs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548733140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (Connecticut) | 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. Jessie T Mangs 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 |
Jessie T Mangs, PA 1290 Silas Deane Hwy Ste 102, Wethersfield, CT 06109-4337 Ph: (860) 972-6977 | Jessie T Mangs, PA 481 Bantam Rd, Litchfield, CT 06759-3202 Ph: (860) 567-1263 |
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