Dr Theresa Y Mangual, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Vernon, Connecticut. Her current practice location is
428 Hartford Tpke, Ste 201, Vernon, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 871-7374.
Dr Theresa Y Mangual is licensed to practice in Connecticut (license number 028553) 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 1598725988.
Physician's Profile
Full Name | Dr Theresa Y Mangual |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 428 Hartford Tpke, Vernon, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598725988
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 10/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 0143206383
- Enrollment ID: I20170324000268
Medical Identifiers
Medical identifiers for Dr Theresa Y Mangual such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598725988 | NPI | - | NPPES |
001285536 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 028553 (Connecticut) | 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. Dr Theresa Y Mangual allows following entities to bill medicare on her behalf.
Entity Name | Community Health Programs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013953009 PECOS PAC ID: 5799746608 Enrollment ID: O20041025000193 |
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Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
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Entity Name | Dhp Of Massachusetts Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619405594 PECOS PAC ID: 8426317942 Enrollment ID: O20180109000515 |
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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. Dr Theresa Y Mangual 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 |
Dr Theresa Y Mangual, MD 428 Hartford Tpke, Ste 201, Vernon, CT 06066-4841 Ph: (860) 871-7374 | Dr Theresa Y Mangual, MD 428 Hartford Tpke, Ste 201, Vernon, CT 06066-4841 Ph: (860) 871-7374 |
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