James R Mangerson, PA-C - Medicare Physician Assistant in Peoria, IL

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James R Mangerson, PA-C is a medicare enrolled "Physician Assistant" in Peoria, Illinois. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Prohealth Medical Group Inc, Aspirus Medical Group, Inc., Osf Multi-specialty Group and his current practice location is 515 Ne Glen Oak Ave Ste 202, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 624-4455.

James R Mangerson is licensed to practice in Illinois (license number 085010994) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093078446.

Contact Information

James R Mangerson, PA-C
515 Ne Glen Oak Ave Ste 202,
Peoria, IL 61603-3166
(309) 624-4455
(309) 624-3457

Map and Direction




Provider's Profile

Full NameJames R Mangerson
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location515 Ne Glen Oak Ave Ste 202, Peoria, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James R Mangerson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1093078446
  • Provider Enumeration Date: 06/20/2012
  • Last Update Date: 01/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799932083
  • Enrollment ID: I20120821000668

Medical Identifiers

Medical identifiers for James R Mangerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093078446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2956 (Wisconsin)Secondary
363A00000XPhysician Assistant 50.008880RX (Ohio)Secondary
363A00000XPhysician Assistant 085010994 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prohealth Waukesha Memorial HospitalWaukesha, WIHospital
Aspirus Wausau HospitalWausau, WIHospital
Prohealth Oconomowoc Memorial HospitalOconomowoc, WIHospital
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188475
Aspirus Medical Group, Inc.1052223625272
Osf Multi-specialty Group36788897892123

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. James R Mangerson allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameAspirus Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003021452
PECOS PAC ID: 1052223625
Enrollment ID: O20031103000267
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297
Entity NameMidwest Critical Care SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093425647
PECOS PAC ID: 4486026804
Enrollment ID: O20230214000166

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. James R Mangerson 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
James R Mangerson, PA-C
515 Ne Glen Oak Ave Ste 202,
Peoria, IL 61603-3166

Ph: (309) 624-4455		James R Mangerson, PA-C
515 Ne Glen Oak Ave Ste 202,
Peoria, IL 61603-3166

Ph: (309) 624-4455

Reviews and Comments


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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.