Ms Tamara Litquinnie Mangum, NP - Medicare Nurse Practitioner in Raleigh, NC

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Ms Tamara Litquinnie Mangum, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Raleigh, North Carolina. Her current practice location is 8406 Six Forks Rd Ste 104, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (855) 675-4144.

Ms Tamara Litquinnie Mangum is licensed to practice in North Carolina (license number 5010004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770094179.

Contact Information

Ms Tamara Litquinnie Mangum, NP
8406 Six Forks Rd Ste 104,
Raleigh, NC 27615-3075
(855) 675-4144
(617) 807-0958

Map and Direction




Provider's Profile

Full NameMs Tamara Litquinnie Mangum
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8406 Six Forks Rd Ste 104, Raleigh, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770094179
  • Provider Enumeration Date: 10/12/2017
  • Last Update Date: 01/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7618234493
  • Enrollment ID: I20171204000946

Medical Identifiers

Medical identifiers for Ms Tamara Litquinnie Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770094179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 5010004 (North Carolina)Primary

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. Ms Tamara Litquinnie Mangum allows following entities to bill medicare on her behalf.
Entity NameB & D Integrated Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215022926
PECOS PAC ID: 9931253275
Enrollment ID: O20090820000437
Entity NameOnsite Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912338328
PECOS PAC ID: 7012149222
Enrollment ID: O20140422000656
Entity NameLld Laboratories Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295196780
PECOS PAC ID: 4981992468
Enrollment ID: O20161017001302
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503

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 Tamara Litquinnie 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
Ms Tamara Litquinnie Mangum, NP
8406 Six Forks Rd Ste 104,
Raleigh, NC 27615-3075

Ph: (855) 675-4144		Ms Tamara Litquinnie Mangum, NP
8406 Six Forks Rd Ste 104,
Raleigh, NC 27615-3075

Ph: (855) 675-4144

Reviews and Comments


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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.