Dr Susan Z Mangnall-harris, LCSW, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Pendleton, Oregon. Her current practice location is
17 Sw Frazer Ave, Suite # 242, Pendleton, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 278-1850.
Dr Susan Z Mangnall-harris is licensed to practice in Oregon (license number 201150002NP) 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 1508927880.
Healthcare Provider's Profile
| Full Name | Dr Susan Z Mangnall-harris |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 17 Sw Frazer Ave, Pendleton, Oregon |
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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: 1508927880
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 01/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 6901950385
- Enrollment ID: I20120319000268
Medical Identifiers
Medical identifiers for Dr Susan Z Mangnall-harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508927880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | L2094 (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201150002NP (Oregon) | 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 Susan Z Mangnall-harris allows following entities to bill medicare on her behalf.
| Entity Name | S Mangnall-harris Psyd Pmhnp Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114297678 PECOS PAC ID: 2961661541 Enrollment ID: O20120319000192 |
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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 Susan Z Mangnall-harris 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 Susan Z Mangnall-harris, LCSW, PMHNP 17 Sw Frazer Ave, Suite # 242, Pendleton, OR 97801-2163 Ph: (541) 278-1850 | Dr Susan Z Mangnall-harris, LCSW, PMHNP 17 Sw Frazer Ave, Suite # 242, Pendleton, OR 97801-2163 Ph: (541) 278-1850 |
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