Dametra Mangum, FNP - Medicare Nurse Practitioner in Flowood, MS

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Dametra Mangum, FNP is a medicare enrolled "Nurse Practitioner - Family" in Flowood, Mississippi. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Yazoo Emergency Group, Llc, Fast Pace Mississippi Pllc and her current practice location is 232 Market St Ste 259, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 310-9784.

Dametra Mangum is licensed to practice in Mississippi (license number 905487) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740904846.

Contact Information

Dametra Mangum, FNP
232 Market St Ste 259,
Flowood, MS 39232-3339
(601) 310-9784
Not Available

Map and Direction




Provider's Profile

Full NameDametra Mangum
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location232 Market St Ste 259, Flowood, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dametra Mangum graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1740904846
  • Provider Enumeration Date: 10/03/2022
  • Last Update Date: 11/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597103705
  • Enrollment ID: I20240408001704

Medical Identifiers

Medical identifiers for Dametra Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740904846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 905487 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yazoo Emergency Group, Llc074951157416
Fast Pace Mississippi Pllc3678832029170

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. Dametra Mangum allows following entities to bill medicare on her behalf.
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameYazoo Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447806914
PECOS PAC ID: 0749511574
Enrollment ID: O20191009002380
Entity NameRelias Emergency Medicine Specialists Of Hattiesburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609409440
PECOS PAC ID: 9032549142
Enrollment ID: O20200413002970
Entity NameKuntry Nurse, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548047970
PECOS PAC ID: 8527594464
Enrollment ID: O20241216001228

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. Dametra Mangum 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
Dametra Mangum, FNP
1252 West Government Street, P.o. Box 2336,
Brandon, MS 39042-8987

Ph: () -		Dametra Mangum, FNP
232 Market St Ste 259,
Flowood, MS 39232-3339

Ph: (601) 310-9784

Reviews and Comments


Nurse Practitioner Nurses in Flowood, MS

Jordan Claire Smith, MSN, FNP-C
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Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232
Phone: 601-420-0034    
Lelouise Tindall Davis, FNP
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Medicare: May Accept Medicare Assignments
Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232
Phone: 601-932-0238    Fax: 601-932-4391
Dr. Tatum Lee Severino I, DNP, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232
Phone: 601-665-4162    Fax: 888-398-1151
Jessica N Brown, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232
Phone: 769-243-6141    
Jane Denton Desper, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-8200    Fax: 601-987-8211
Brittany Michelle Fitzgerald, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-2000    
Courtney Dannielle Murtagh, WHNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2925 Layfair Dr, Flowood, MS 39232
Phone: 601-984-6740    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.