Omar Mangrum, EDD in Grand Rapids, MI - Medicare Clinical Psychologist Provider

Omar Mangrum, EDD is a medicare enrolled "Psychologist" provider in Grand Rapids, Michigan. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Hra Psychological Services Pc and his current practice location is 161 Ottawa Ave Nw, Suite 300c, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 458-0692.

Omar Mangrum is licensed to practice in Michigan (license number 6301005399) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457389157.

Contact Information

	Omar Mangrum, EDD
	161 Ottawa Ave Nw, Suite 300c, Grand Rapids, MI 49503-2701
	(616) 458-0692
	(616) 458-8129

Map and Direction

Healthcare Provider's Profile

Full Name	Omar Mangrum
Gender	Male
Speciality	Clinical Psychologist
Experience	36 Years
Location	161 Ottawa Ave Nw, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omar Mangrum graduated from medical school in 1988

NPI Data:

NPI Number: 1457389157
Provider Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8820277130
Enrollment ID: I20110119000318

Medical Identifiers

Medical identifiers for Omar Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457389157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301005399 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hra Psychological Services Pc	8820994031	5

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. Omar Mangrum allows following entities to bill medicare on his behalf.

Entity Name	Hra Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003859984 PECOS PAC ID: 8820994031 Enrollment ID: O20031209000700

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. Omar Mangrum 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
Omar Mangrum, EDD 161 Ottawa Ave Nw, Suite 300c, Grand Rapids, MI 49503-2701 Ph: (616) 458-0692	Omar Mangrum, EDD 161 Ottawa Ave Nw, Suite 300c, Grand Rapids, MI 49503-2701 Ph: (616) 458-0692

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Omar Mangrum, EDD - Medicare Psychologist in Grand Rapids, MI