Mikeisha Mangham, OTR/L in Gainesville, FL - Medicare Occupational Therapist Provider

Mikeisha Mangham, OTR/L is a medicare enrolled "Occupational Therapist" provider in Gainesville, Florida. Her current practice location is 75 Sw 75th St Apt C01, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 363-4059.

Mikeisha Mangham is licensed to practice in Florida (license number 22787) 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 1205584067.

Contact Information

	Mikeisha Mangham, OTR/L
	75 Sw 75th St Apt C01, Gainesville, FL 32607-1602
	(352) 363-4059
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikeisha Mangham
Gender	Female
Speciality	Occupational Therapist
Location	75 Sw 75th St Apt C01, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205584067
Provider Enumeration Date: 03/11/2022
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 8820458086
Enrollment ID: I20230719002103

Medical Identifiers

Medical identifiers for Mikeisha Mangham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205584067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	22787 (Florida)	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. Mikeisha Mangham allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289

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. Mikeisha Mangham 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
Mikeisha Mangham, OTR/L 75 Sw 75th St Apt C01, Gainesville, FL 32607-1602 Ph: (352) 363-4059	Mikeisha Mangham, OTR/L 75 Sw 75th St Apt C01, Gainesville, FL 32607-1602 Ph: (352) 363-4059

Reviews and Comments

Occupational Therapist in Gainesville, FL

Mrs. Kimberly Rae Reynolds, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7520 W University Ave, Suite D, Gainesville, FL 32607 Phone: 352-505-6339 Fax: 352-505-6340
Legend Rehab Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4210 Nw 37th Pl, Suite 200, Gainesville, FL 32606 Phone: 352-872-5200 Fax: 352-872-5109
Marisa Rodriguez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1338 Nw 13th St, Gainesville, FL 32601 Phone: 352-224-5004
Danielle Marie Beatty, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4907 Nw 43rd St, Suite C, Gainesville, FL 32606 Phone: 352-372-0047 Fax: 352-372-4701
Thy Cam Huynh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1549 Gale Lemerand Dr, Gainesville, FL 32610 Phone: 352-265-0496 Fax: 352-265-6981
Elizabeth Kirschke Schenck, MHS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd # 117, Gainesville, FL 32608 Phone: 352-376-1611
Lydia Hillman, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6700 Nw 10th Pl, Gainesville, FL 32605 Phone: 352-240-6402

Mikeisha Mangham, OTR/L - Medicare Occupational Therapist in Gainesville, FL