Tanisha Lavelle Mangon, MSN, NP-C - Medicare Nurse Practitioner in Katy, TX

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Tanisha Lavelle Mangon, MSN, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Katy, Texas. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Collaborative Geriatrics Inc and her current practice location is 24275 Katy Fwy Ste 400, Katy, Texas. You can reach out to her office (for appointments etc.) via phone at (346) 387-7171.

Tanisha Lavelle Mangon is licensed to practice in Texas (license number 709892) 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 1770896953.

Contact Information

Tanisha Lavelle Mangon, MSN, NP-C
24275 Katy Fwy Ste 400,
Katy, TX 77494-7267
(346) 387-7171
(844) 703-5305

Map and Direction




Provider's Profile

Full NameTanisha Lavelle Mangon
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location24275 Katy Fwy Ste 400, Katy, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tanisha Lavelle Mangon graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1770896953
  • Provider Enumeration Date: 07/16/2010
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6901098664
  • Enrollment ID: I20101013000470

Medical Identifiers

Medical identifiers for Tanisha Lavelle Mangon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770896953NPI-NPPES
215538407MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 709892 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Collaborative Geriatrics Inc519382704642

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. Tanisha Lavelle Mangon allows following entities to bill medicare on her behalf.
Entity NameCollaborative Geriatrics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811088628
PECOS PAC ID: 5193827046
Enrollment ID: O20070426000586

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. Tanisha Lavelle Mangon 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 AddressPractice Location Address
Tanisha Lavelle Mangon, MSN, NP-C
24275 Katy Fwy Ste 400,
Katy, TX 77494-7267

Ph: (346) 387-7171		Tanisha Lavelle Mangon, MSN, NP-C
24275 Katy Fwy Ste 400,
Katy, TX 77494-7267

Ph: (346) 387-7171

Reviews and Comments


Nurse Practitioner Nurses in Katy, TX

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Mrs. Cassandra Chidimma Eneremadu, FNP-C
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Mr. Francis Tunji Awopegba,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.