Ms Candace D Mangum, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Notasulga, Alabama. Her current practice location is
56 West Main Street, Notasulga, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 257-1081.
Ms Candace D Mangum is licensed to practice in Alabama (license number 1-090975) 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 1407924384.
Provider's Profile
| Full Name | Ms Candace D Mangum |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 56 West Main Street, Notasulga, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Candace D Mangum attended and graduated from in
NPI Data:
- NPI Number: 1407924384
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 06/08/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Candace D Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407924384 | NPI | - | NPPES |
| 1164550489 | Other | | ORGANIZATIONAL NPI |
| 891017112 | Medicaid | AL | |
| 051558482 | Other | AL | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 1-090975 (Alabama) | Primary |
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. Ms Candace D 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 Address | Practice Location Address |
|---|
Ms Candace D Mangum, CRNP
Po Box 100,
Notasulga, AL 36866-0100
Ph: (334) 257-1081 | Ms Candace D Mangum, CRNP
56 West Main Street,
Notasulga, AL 36866-0100
Ph: (334) 257-1081 |
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