Meredith Mangum, FNP-C - Medicare Nurse Practitioner in Boise, ID

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Meredith Mangum, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Boise, Idaho. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mangum Primary Care Llc and her current practice location is 608 S Phillippi St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 580-8888.

Meredith Mangum is licensed to practice in Idaho (license number NP-1579A) 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 1740663657.

Contact Information

Meredith Mangum, FNP-C
608 S Phillippi St,
Boise, ID 83705-1160
(208) 580-8888
Not Available

Map and Direction




Provider's Profile

Full NameMeredith Mangum
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location608 S Phillippi St, Boise, Idaho
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:
  • Meredith Mangum graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1740663657
  • Provider Enumeration Date: 07/09/2015
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709194830
  • Enrollment ID: I20151008002877

Medical Identifiers

Medical identifiers for Meredith Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740663657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1579A (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mangum Primary Care Llc05477065092

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. Meredith Mangum allows following entities to bill medicare on her behalf.
Entity NameDavid J Butuk MD PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710174800
PECOS PAC ID: 5698669422
Enrollment ID: O20040211001072
Entity NameMangum Primary Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194494229
PECOS PAC ID: 0547706509
Enrollment ID: O20241018001117

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. Meredith 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
Meredith Mangum, FNP-C
608 S Phillippi St,
Boise, ID 83705-1160

Ph: (208) 580-8888		Meredith Mangum, FNP-C
608 S Phillippi St,
Boise, ID 83705-1160

Ph: (208) 580-8888

Reviews and Comments


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Nora M Suarez, NP
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Jennifer Woodburn,
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Carl Ciplinski, NP
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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.