Jessica Colleen Mangonon, MD - Medicare Pediatrics in Irvine, CA

Jessica Colleen Mangonon, MD is a medicare enrolled "Pediatrics" physician in Irvine, California. Her current practice location is 16300 Sand Canyon Ave, #811, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 753-9000.

Jessica Colleen Mangonon is licensed to practice in California (license number A128287) 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 1962769968.

Contact Information

Jessica Colleen Mangonon, MD
16300 Sand Canyon Ave, #811,
Irvine, CA 92618-3711
(949) 753-9000
(949) 753-5044

Map and Direction




Physician's Profile

Full NameJessica Colleen Mangonon
GenderFemale
SpecialityPediatrics
Location16300 Sand Canyon Ave, Irvine, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962769968
  • Provider Enumeration Date: 04/13/2012
  • Last Update Date: 06/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0547580599
  • Enrollment ID: I20150515000001

Medical Identifiers

Medical identifiers for Jessica Colleen Mangonon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962769968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A128287 (California)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. Jessica Colleen Mangonon allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California Irvine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598790529
PECOS PAC ID: 5395658181
Enrollment ID: O20031107000431
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameHoag Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942799523
PECOS PAC ID: 3274872064
Enrollment ID: O20190221001936

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. Jessica Colleen Mangonon 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
Jessica Colleen Mangonon, MD
16300 Sand Canyon Ave, #811,
Irvine, CA 92618-3711

Ph: (949) 753-9000
Jessica Colleen Mangonon, MD
16300 Sand Canyon Ave, #811,
Irvine, CA 92618-3711

Ph: (949) 753-9000

Reviews and Comments


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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.

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