Ms Kelly Renee Mangold, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake St Louis, Missouri. Her current practice location is
3 Scarlet Oak Ct, Lake St Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(312) 919-6286.
Ms Kelly Renee Mangold is licensed to practice in North Carolina (license number 6708) 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 1477876803.
Provider's Profile
| Full Name | Ms Kelly Renee Mangold |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3 Scarlet Oak Ct, Lake St Louis, Missouri |
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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 Kelly Renee Mangold attended and graduated from in
NPI Data:
- NPI Number: 1477876803
- Provider Enumeration Date: 03/12/2010
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Kelly Renee Mangold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477876803 | NPI | - | NPPES |
| 600420070 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2010005602 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 6708 (North Carolina) | 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. Ms Kelly Renee Mangold 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 |
|---|
Ms Kelly Renee Mangold, CRNA
3 Scarlet Oak Ct,
Lake St Louis, MO 63367-2130
Ph: (312) 919-6286 | Ms Kelly Renee Mangold, CRNA
3 Scarlet Oak Ct,
Lake St Louis, MO 63367-2130
Ph: (312) 919-6286 |
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