Ms Candace D Mangum, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Notasulga, Alabama. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Hospital Inc and her current practice location is
56 West Main Street, Notasulga, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 257-1081.
Ms Candace D Mangum is licensed to practice in Alabama (license number 1-090975) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407924384.
Provider's Profile
| Full Name | Ms Candace D Mangum |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 56 West Main Street, Notasulga, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Candace D Mangum graduated from nursing school in 2005
NPI Data:
- NPI Number: 1407924384
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 06/08/2009
Medicare PECOS Information:
- PECOS PAC ID: 7618070855
- Enrollment ID: I20070308000642
Medical Identifiers
Medical identifiers for Ms Candace D Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407924384 | NPI | - | NPPES |
| 1164550489 | Other | | ORGANIZATIONAL NPI |
| 891017112 | Medicaid | AL | |
| 051558482 | Other | AL | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 1-090975 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Hospital Inc | 2062408487 | 20 |
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. Ms Candace D Mangum allows following entities to bill medicare on her behalf.
| Entity Name | Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295040376
PECOS PAC ID: 2062408487
Enrollment ID: O20040421001819 |
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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. Ms Candace D 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 |
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Ms Candace D Mangum, CRNP
Po Box 100,
Notasulga, AL 36866-0100
Ph: (334) 257-1081 | Ms Candace D Mangum, CRNP
56 West Main Street,
Notasulga, AL 36866-0100
Ph: (334) 257-1081 |
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