| John R Mangum, MD | |
|
555 Carthage St, Sanford, NC 27330-4104 | |
| (919) 774-6518 | |
| (919) 774-1831 |
| Full Name | John R Mangum |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 555 Carthage St, Sanford, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619978939 | NPI | - | NPPES |
| 53847 | Other | NC | BCBS |
| 8953847 | Medicaid | NC | |
| FH1100100 | Other | NC | FIRSTCAROLINACARE |
| 0138728 | Other | NC | UNITED HEALTH CARE |
| 27463 | Other | NC | MEDCOST |
| P00869137 | Other | PALMETTO GBA - R/R MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26630 (North Carolina) | Primary |
| Entity Name | Pinehurst Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Mangum, MD 205 Page Rd, Pinehurst, NC 28374-8798 Ph: (910) 295-5511 | John R Mangum, MD 555 Carthage St, Sanford, NC 27330-4104 Ph: (919) 774-6518 |
Hiromi Maruyama, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2412 Wilkins Dr, Sanford, NC 27330 Phone: 919-776-6000 | |
Francesco Robert Olivito, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4546 Nc Highway 87 South, Sanford, NC 27332 Phone: 919-499-5151 Fax: 919-499-5147 | |
Dr. Robert Howard Mcconville Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Carthage St, Sanford, NC 27330 Phone: 919-774-6023 Fax: 919-776-6359 | |
Dr. William E. Hall, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 219 Maple Ave, Sanford, NC 27330 Phone: 919-770-9102 Fax: 919-775-3377 | |
Schuyler Karl Behnke, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Chatham Street, Sanford, NC 27330 Phone: 919-775-1115 Fax: 919-775-1113 | |
Daphne Joan Cates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2412 Wilkins Dr, Sanford, NC 27330 Phone: 919-776-6000 Fax: 919-776-0130 | |
Anusha Reddy Gaddam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2919 Beechtree Dr, Suite 1120, Sanford, NC 27330 Phone: 919-897-2256 Fax: 919-897-2261 |