| Kevin Mangum, DO | |
|
6095 S Fashion Blvd Ste 220, Murray, UT 84107-7393 | |
| (801) 758-8735 | |
| (801) 769-2092 |
| Full Name | Kevin Mangum |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 6095 S Fashion Blvd Ste 220, Murray, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609140847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8164477-1204 (Utah) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 8164477-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Alta View Hospital | Sandy, UT | Hospital |
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Healthcare, Pllc | 5092187617 | 3 |
| Entity Name | University Of Utah Community Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
| Entity Name | Primary Healthcare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700503182 PECOS PAC ID: 5092187617 Enrollment ID: O20230208001581 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Mangum, DO 6095 S Fashion Blvd Ste 220, Murray, UT 84107-7393 Ph: (801) 758-8735 | Kevin Mangum, DO 6095 S Fashion Blvd Ste 220, Murray, UT 84107-7393 Ph: (801) 758-8735 |
Khalid Hararah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 688 E Vine St Ste 16, Murray, UT 84107 Phone: 801-509-9138 Fax: 801-797-0237 | |
Lindsay Helm, Family Medicine Medicare: Medicare Enrolled Practice Location: 154 E Myrtle Ave Ste 204, Murray, UT 84107 Phone: 801-369-8989 Fax: 801-704-9741 | |
Carl Edward Wyne, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5770 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4544 | |
Dr. Franz Medina Monroy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 E Medical Tower Dr, Murray, UT 84107 Phone: 801-314-4266 | |
Rebekah Catherine Edwards, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 677 W 5300 S, Murray, UT 84123 Phone: 801-327-8700 | |
Alexis Gunderson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Dr. Brad Taylor Landrum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St, Murray, UT 84107 Phone: 866-415-6556 |