Mr Brad A Mangum, PT in Salem, UT - Medicare Physical Therapy Provider

Mr Brad A Mangum, PT is a medicare enrolled "Physical Therapist" provider in Salem, Utah. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 555 West Sr 164, Salem, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 203-1313.

Mr Brad A Mangum is licensed to practice in Utah (license number 5003636-2401) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316992548.

Contact Information

	Mr Brad A Mangum, PT
	555 West Sr 164, Salem, UT 84653
	(385) 203-1313
	(801) 429-0629

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brad A Mangum
Gender	Male
Speciality	Physical Therapy
Experience	23 Years
Location	555 West Sr 164, Salem, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Brad A Mangum graduated from medical school in 2001

NPI Data:

NPI Number: 1316992548
Provider Enumeration Date: 05/24/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2668486440
Enrollment ID: I20060131000922

Medical Identifiers

Medical identifiers for Mr Brad A Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316992548	NPI	-	NPPES
50036362401001	Other	UT	BCBS PPO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5003636-2401 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	391

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. Mr Brad A Mangum allows following entities to bill medicare on his behalf.

Provider Name	Central Utah Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Provider Name	Physical & Sports Therapy Services, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326149865 PECOS PAC ID: 3678565959 Enrollment ID: O20040330001082

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. Mr Brad A 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
Mr Brad A Mangum, PT 1055 N 500 W Attn: Credentialing, Provo, UT 84604 Ph: (801) 354-8225	Mr Brad A Mangum, PT 555 West Sr 164, Salem, UT 84653 Ph: (385) 203-1313

Reviews and Comments

Physical Therapist in Salem, UT

Kashley Carter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 416 N State Road 198, Salem, UT 84653 Phone: 801-423-8600
Alex S Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 385-203-1313
Darren H Averett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 555 West Sr 164, Salem, UT 84653 Phone: 385-203-1313 Fax: 801-429-0629
Samuel Metz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 416 N State Road 198, Salem, UT 84653 Phone: 801-423-8600
Mr. Paul Durant Stoneman, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 West Sr 164, Salem, UT 84653 Phone: 385-203-1313 Fax: 801-429-0629

Mr Brad A Mangum, PT - Medicare Physical Therapist in Salem, UT