| Martin A Mangan, DO | |
|
16 S 1st E, Rexburg, ID 83440-1902 | |
| (208) 520-2809 | |
| (208) 225-4249 |
| Full Name | Martin A Mangan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 16 S 1st E, Rexburg, Idaho |
| 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 |
|---|---|---|---|
| 1972709103 | NPI | - | NPPES |
| MR 0934 | Other | ID | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | O-0518 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | O-0518 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 265 |
| Madison Co Memorial Hospital | 8123016367 | 36 |
| Madison Memorial Hospital | 4183949522 | 21 |
| Entity Name | Madison Co Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134592017 PECOS PAC ID: 8123016367 Enrollment ID: O20040505000664 |
| Entity Name | Madison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346643038 PECOS PAC ID: 4183949522 Enrollment ID: O20150206000933 |
| Entity Name | Ridgeline Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386110963 PECOS PAC ID: 5092054551 Enrollment ID: O20190227001380 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin A Mangan, DO 98 N Cambridge Dr, Rigby, ID 83442-5298 Ph: (208) 220-1057 | Martin A Mangan, DO 16 S 1st E, Rexburg, ID 83440-1902 Ph: (208) 520-2809 |
Corey T Rammell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-3691 | |
Austin C Gillette, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Winn Dr, Rexburg, ID 83440 Phone: 208-881-5222 Fax: 877-441-4715 | |
Kelly L Dustin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Winn Dr, Rexburg, ID 83440 Phone: 208-881-5222 Fax: 877-441-4715 | |
Michael Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Brian Paul Beesley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8444 | |
Gary R Sena, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 | |
Dr. Clay Christian Prince, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9467 Fax: 208-656-9466 |