| Dr Bradley Dee Mangum, FNP-BC, DC | |
|
559 W Washington St, Burns, OR 97720-1441 | |
| (541) 573-2074 | |
| Not Available |
| Full Name | Dr Bradley Dee Mangum |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 559 W Washington St, Burns, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235465147 | NPI | - | NPPES |
| 500763900 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1573A (Idaho) | Primary |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255376406 PECOS PAC ID: 4789580218 Enrollment ID: O20101103000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Dee Mangum, FNP-BC, DC 559 W Washington St, Burns, OR 97720-1441 Ph: (541) 573-2074 | Dr Bradley Dee Mangum, FNP-BC, DC 559 W Washington St, Burns, OR 97720-1441 Ph: (541) 573-2074 |
Jolene Cawlfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 559 W Washington St, Burns, OR 97720 Phone: 541-573-2074 Fax: 541-573-8893 | |
Michelle Davies, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 229 N Egan Ave, Burns, OR 97720 Phone: 541-573-6126 | |
Barbara Jean Rothgeb, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 N Fairview Ave, Burns, OR 97720 Phone: 541-493-2274 Fax: 541-493-2274 | |
Miss Ashley Vanderdasson, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 348 W Adams St, Burns, OR 97720 Phone: 541-573-8376 Fax: 541-573-8378 | |
Melanie Sue Arntz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 229 N Egan Ave, Burns, OR 97720 Phone: 541-573-6126 | |
Mary Elizabeth Schimmelpfennig, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 W Washington St, Burns, OR 97720 Phone: 541-573-2074 |