Edwin W Mangram Ii, DDS - Medicare Dentist in Chicago, IL

Edwin W Mangram Ii, DDS is a medicare enrolled "Dentist" provider in Chicago, Illinois. His current practice location is 3860 W Ogden Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (872) 588-3000.

Edwin W Mangram Ii is licensed to practice in Illinois (license number 019-025445) 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 1003853425.

Contact Information

Edwin W Mangram Ii, DDS
3860 W Ogden Ave,
Chicago, IL 60623-2460
(872) 588-3000
(872) 588-3021

Map and Direction




Healthcare Provider's Profile

Full NameEdwin W Mangram Ii
GenderMale
SpecialityDentist
Location3860 W Ogden Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003853425
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 11/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0143595256
  • Enrollment ID: I20170928003535

Medical Identifiers

Medical identifiers for Edwin W Mangram Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003853425NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019-025445 (Illinois)Primary

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. Edwin W Mangram Ii 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 AddressPractice Location Address
Edwin W Mangram Ii, DDS
3860 W Ogden Ave,
Chicago, IL 60623-2460

Ph: (872) 588-3000
Edwin W Mangram Ii, DDS
3860 W Ogden Ave,
Chicago, IL 60623-2460

Ph: (872) 588-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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