Mrs Sukdai Mangru, CNM is a medicare enrolled "Advanced Practice Midwife" in Punta Gorda, Florida. Her current practice location is
6210 Scott St, Unit 216, Punta Gorda, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 205-2666.
Mrs Sukdai Mangru is licensed to practice in New York (license number F000890) 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 1720174352.
Provider's Profile
| Full Name | Mrs Sukdai Mangru |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 6210 Scott St, Punta Gorda, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720174352
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 03/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 5799030094
- Enrollment ID: I20180608001034
Medical Identifiers
Medical identifiers for Mrs Sukdai Mangru such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720174352 | NPI | - | NPPES |
| 00246075 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | F000890 (New York) | Primary |
| 367A00000X | Advanced Practice Midwife | ARNP2098022 (Florida) | Secondary |
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. Mrs Sukdai Mangru allows following entities to bill medicare on her behalf.
| Entity Name | Port Charlotte Hma Physician Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003985573
PECOS PAC ID: 8729187901
Enrollment ID: O20070629000043 |
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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. Mrs Sukdai Mangru 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 |
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Mrs Sukdai Mangru, CNM
6210 Scott St, Unit 216,
Punta Gorda, FL 33950-3901
Ph: (941) 205-2666 | Mrs Sukdai Mangru, CNM
6210 Scott St, Unit 216,
Punta Gorda, FL 33950-3901
Ph: (941) 205-2666 |
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