Carlton Mangum, SSW in St. George, UT - Medicare Counselor Provider

Carlton Mangum, SSW is a medicare enrolled "Counselor - Mental Health" provider in St. George, Utah. His current practice location is 474 W 200 N, Suite 200, St. George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 634-5600.

Carlton Mangum is licensed to practice in Utah (license number 6496349-6004) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194947051.

Contact Information

	Carlton Mangum, SSW
	474 W 200 N, Suite 200, St. George, UT 84770-4505
	(435) 634-5600
	(435) 986-8700

Map and Direction

Healthcare Provider's Profile

Full Name	Carlton Mangum
Gender	Male
Speciality	Counselor - Mental Health
Location	474 W 200 N, St. George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194947051
Provider Enumeration Date: 05/02/2007
Last Update Date: 08/05/2020

Medicare PECOS Information:

PECOS PAC ID: 7517497977
Enrollment ID: I20250214000093

Medical Identifiers

Medical identifiers for Carlton Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194947051	NPI	-	NPPES
MANGUC	Other	UT	SBHC STAFF CODE
6496349-3503	Other	UT	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6496349-6004 (Utah)	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. Carlton Mangum allows following entities to bill medicare on his behalf.

Entity Name	Southwest Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922053586 PECOS PAC ID: 0941246086 Enrollment ID: O20050629000639

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. Carlton Mangum 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
Carlton Mangum, SSW 474 W 200 N, Suite 300, St. George, UT 84770-4505 Ph: (435) 634-5600	Carlton Mangum, SSW 474 W 200 N, Suite 200, St. George, UT 84770-4505 Ph: (435) 634-5600

Reviews and Comments

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William Hunt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 E. Riverside Dr., St. George, UT 84770 Phone: 801-255-5131

Carlton Mangum, SSW - Medicare Counselor in St. George, UT