Lisa Marie Mangino-blanchard, CRNP in Pomona, NJ

Lisa Marie Mangino-blanchard, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Pomona, New Jersey. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Penn - Medical Group and her current practice location is 65 W Jimmie Leeds Rd Fl 1, Pomona, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 748-7089.

Lisa Marie Mangino-blanchard is licensed to practice in New Jersey (license number 26NJ01034600) 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 1811273980.

Contact Information

	Lisa Marie Mangino-blanchard, CRNP
	65 W Jimmie Leeds Rd Fl 1, Pomona, NJ 08240-9102
	(609) 748-7089
	(609) 652-3460

Map and Direction

Provider's Profile

Full Name	Lisa Marie Mangino-blanchard
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	65 W Jimmie Leeds Rd Fl 1, Pomona, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Marie Mangino-blanchard graduated from nursing school in 2001

NPI Data:

NPI Number: 1811273980
Provider Enumeration Date: 11/02/2011
Last Update Date: 05/28/2026

Medicare PECOS Information:

PECOS PAC ID: 0446427439
Enrollment ID: I20120113000563

Medical Identifiers

Medical identifiers for Lisa Marie Mangino-blanchard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811273980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP007067 (Pennsylvania)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	26NJ01034600 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Penn Presbyterian Medical Center	Philadelphia, PA	Hospital
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn - Medical Group	6204730955	3482

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. Lisa Marie Mangino-blanchard allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093725145 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000256

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. Lisa Marie Mangino-blanchard 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 Address	Practice Location Address
Lisa Marie Mangino-blanchard, CRNP 51 N 39th St, Philadelphia, PA 19104-2640 Ph: (215) 662-9595	Lisa Marie Mangino-blanchard, CRNP 65 W Jimmie Leeds Rd Fl 1, Pomona, NJ 08240-9102 Ph: (609) 748-7089

Reviews and Comments

Nurse Practitioner Nurses in Pomona, NJ

Sara M Neyers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Jimmie Leeds Road, Atlanticare Regional Medical Center, Pomona, NJ 08240 Phone: 609-652-1000
Jillian Ullo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-7089
Phillip Campanella, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000
Ms. Tammy Delores Hart, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000
Amy Dow, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000
Mary Patricia Malitas, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-7089 Fax: 609-652-3460
Conrado Manalo Sampedro, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000

Lisa Marie Mangino-blanchard, CRNP - Medicare Nurse Practitioner in Pomona, NJ