Martin A Mangan, DO is a medicare enrolled "Family Medicine" in Rexburg, Idaho. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mountain View Hospital Llc, Madison Co Memorial Hospital and his current practice location is
16 S 1st E, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 520-2809.
Martin A Mangan is licensed to practice in Idaho (license number O-0518) 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 1972709103.
Provider's Profile
| Full Name | Martin A Mangan |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 19 Years |
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| Location | 16 S 1st E, Rexburg, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Martin A Mangan graduated from nursing school in 2007
NPI Data:
- NPI Number: 1972709103
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 08/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 6709937758
- Enrollment ID: I20090702000185
Medical Identifiers
Medical identifiers for Martin A Mangan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972709103 | NPI | - | NPPES |
| MR 0934 | Other | ID | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 77008 (Idaho) | Secondary |
| 207P00000X | Emergency Medicine | O-0518 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | O-0518 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mountain View Hospital Llc | 4486562774 | 272 |
| Madison Co Memorial Hospital | 8123016367 | 34 |
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. Martin A Mangan allows following entities to bill medicare on his behalf.
| Entity Name | Madison Co Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134592017 PECOS PAC ID: 8123016367 Enrollment ID: O20040505000664 |
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| Entity Name | Mountain View Hospital LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
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| Entity Name | Madison Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346643038 PECOS PAC ID: 4183949522 Enrollment ID: O20150206000933 |
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| Entity Name | Ridgeline Medical LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386110963 PECOS PAC ID: 5092054551 Enrollment ID: O20190227001380 |
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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. Martin A Mangan 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 |
Martin A Mangan, DO 16 S 1st E, Rexburg, ID 83440-1902 Ph: (208) 520-2809 | Martin A Mangan, DO 16 S 1st E, Rexburg, ID 83440-1902 Ph: (208) 520-2809 |
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