Tiffany Lajune Mango, FNP-BC in Lafayette, LA

Tiffany Lajune Mango, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Louisiana. Her current practice location is 6770 Johnston St Ste B, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 326-5702.

Tiffany Lajune Mango is licensed to practice in Louisiana (license number 227157) 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 1992428239.

Contact Information

	Tiffany Lajune Mango, FNP-BC
	6770 Johnston St Ste B, Lafayette, LA 70503-6202
	(337) 326-5702
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Lajune Mango
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6770 Johnston St Ste B, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992428239
Provider Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7113393919
Enrollment ID: I20221019002184

Medical Identifiers

Medical identifiers for Tiffany Lajune Mango such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992428239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	227157 (Louisiana)	Primary

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. Tiffany Lajune Mango allows following entities to bill medicare on her behalf.

Entity Name	Hulin Urgent Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537

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. Tiffany Lajune Mango 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
Tiffany Lajune Mango, FNP-BC 1931 Chemin Metairie Pkwy Apt 625, Youngsville, LA 70592-6826 Ph: (337) 397-7219	Tiffany Lajune Mango, FNP-BC 6770 Johnston St Ste B, Lafayette, LA 70503-6202 Ph: (337) 326-5702

Reviews and Comments

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Tiffany Lajune Mango, FNP-BC - Medicare Nurse Practitioner in Lafayette, LA