Adio Mangrum, is a medicare enrolled "Physical Therapist" provider in Efland, North Carolina. His current practice location is
3419 Us Highway 70 W Ste 102, Efland, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 792-4881.
Adio Mangrum is licensed to practice in North Carolina (license number P19746) 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 1871967232.
Healthcare Provider's Profile
| Full Name | Adio Mangrum |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 3419 Us Highway 70 W Ste 102, Efland, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871967232
- Provider Enumeration Date: 11/23/2015
- Last Update Date: 04/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779944723
- Enrollment ID: I20230807003134
Medical Identifiers
Medical identifiers for Adio Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871967232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 43333 (California) | Secondary |
| 225100000X | Physical Therapist | P19746 (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. Adio Mangrum allows following entities to bill medicare on his behalf.
| Provider Name | Fox Rehab Pt Nc Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1053199844
PECOS PAC ID: 5597113811
Enrollment ID: O20231128000927 |
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| Provider Name | Mangrum Health Services Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1902511736
PECOS PAC ID: 3072041912
Enrollment ID: O20250106003964 |
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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. Adio 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 |
|---|
Adio Mangrum,
3419 Us Highway 70 W Ste 102,
Efland, NC 27243-8466
Ph: (919) 792-4881 | Adio Mangrum,
3419 Us Highway 70 W Ste 102,
Efland, NC 27243-8466
Ph: (336) 792-4881 |
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