Scott Joseph Mango, CRNA in Midland, MI - Medicare Nurse Anesthetist, Certified Registered

Scott Joseph Mango, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Midland, Michigan. His current practice location is 4000 Wellness Dr, Midland, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 839-3000.

Scott Joseph Mango is licensed to practice in Michigan (license number 4704206863) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720414949.

Contact Information

	Scott Joseph Mango, CRNA
	4000 Wellness Dr, Midland, MI 48670-2000
	(989) 839-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Scott Joseph Mango
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4000 Wellness Dr, Midland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720414949
Provider Enumeration Date: 09/19/2013
Last Update Date: 04/24/2026

Medicare PECOS Information:

PECOS PAC ID: 1557590585
Enrollment ID: I20140214000604

Medical Identifiers

Medical identifiers for Scott Joseph Mango such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720414949	NPI	-	NPPES
100680	Other	MI	AANA
P01290769	Other	MI	RAILROAD MEDICARE
0872871	Other	MI	BCBSM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704206863 (Michigan)	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. Scott Joseph Mango allows following entities to bill medicare on his behalf.

Entity Name	Mymichigan Medical Center Midland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770668683 PECOS PAC ID: 2264323633 Enrollment ID: O20040324001146

Entity Name	Mymichigan Medical Center Clare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417084278 PECOS PAC ID: 7012829773 Enrollment ID: O20040424000282

Entity Name	Mymichigan Medical Center Gladwin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094

Entity Name	Mymichigan Medical Center West Branch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424

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. Scott Joseph Mango 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
Scott Joseph Mango, CRNA 4000 Wellness Dr, Midland, MI 48670-2000 Ph: (844) 832-1956	Scott Joseph Mango, CRNA 4000 Wellness Dr, Midland, MI 48670-2000 Ph: (989) 839-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Midland, MI

Richard M Dudzik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000
Bernard J Betka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000
Donavon Earley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2107 Laurel Ln, Midland, MI 48642 Phone: 989-750-2335
Karen L Yaworski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000
Christine M Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000
Andrew James Leis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000
Hollie Caldwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3639

Scott Joseph Mango, CRNA - Medicare Nurse Anesthetist, Certified Registered in Midland, MI