Mrs Debra D Mangrum, NP in Olympia Fields, IL

Mrs Debra D Mangrum, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Olympia Fields, Illinois. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Specialty Physicians Of Illinois Llc and her current practice location is 3800 W 203rd St Ste 204, Olympia Fields, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 852-2641.

Mrs Debra D Mangrum is licensed to practice in Illinois (license number 209015375) 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 1669917654.

Contact Information

	Mrs Debra D Mangrum, NP
	3800 W 203rd St Ste 204, Olympia Fields, IL 60461-1185
	(708) 852-2641
	(708) 503-3260

Map and Direction

Provider's Profile

Full Name	Mrs Debra D Mangrum
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3800 W 203rd St Ste 204, Olympia Fields, Illinois
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:

Mrs Debra D Mangrum graduated from nursing school in 2016

NPI Data:

NPI Number: 1669917654
Provider Enumeration Date: 12/29/2016
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 4789961723
Enrollment ID: I20170501001138

Medical Identifiers

Medical identifiers for Mrs Debra D Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669917654	NPI	-	NPPES
300024535	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	71007051A (Indiana)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	209015375 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan Health Olympia Fields & Chicago Heights	Olympia fields, IL	Hospital
Franciscan Health Munster	Munster, IN	Hospital
Franciscan Health Dyer	Dyer, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Specialty Physicians Of Illinois Llc	4183529456	111

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. Mrs Debra D Mangrum allows following entities to bill medicare on her behalf.

Entity Name	Specialty Physicians Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602

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. Mrs Debra D Mangrum 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
Mrs Debra D Mangrum, NP 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 528-4800	Mrs Debra D Mangrum, NP 3800 W 203rd St Ste 204, Olympia Fields, IL 60461-1185 Ph: (708) 852-2641

Reviews and Comments

Nurse Practitioner Nurses in Olympia Fields, IL

Nancy Tapia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2555 Lincoln Hwy Ste 200, Olympia Fields, IL 60461 Phone: 708-996-4000
Dawyn Marie Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Lincoln Hwy Ste 205, Olympia Fields, IL 60461 Phone: 708-677-8337
Nicole Bindl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-852-2641 Fax: 708-503-3260
Rhonda Renae Pettaway Ansier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 W 203rd St Ste 110, Olympia Fields, IL 60461 Phone: 708-679-1890
Ms. Tracy Loren Taylor, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2850
Larina Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 301, Olympia Fields, IL 60461 Phone: 708-679-2850 Fax: 708-503-3816
Megan Gac, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 302, Olympia Fields, IL 60461 Phone: 708-679-2518 Fax: 708-679-2519

Mrs Debra D Mangrum, NP - Medicare Nurse Practitioner in Olympia Fields, IL