Mangum Primary Care Llc in Boise, ID - Medicare Clinic/Center

Mangum Primary Care Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Boise, Idaho. The current practice location for Mangum Primary Care Llc is 3046 S Bown Way, Boise, Idaho. For appointments, you can reach them via phone at (801) 793-8124. The mailing address for Mangum Primary Care Llc is 608 S Phillippi St, Boise, Idaho and phone number is (801) 793-8124.

Mangum Primary Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194494229. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 793-8124.

Contact Information

	Mangum Primary Care Llc
	3046 S Bown Way Boise ID 83706-5499
	(801) 793-8124
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Mangum Primary Care Llc
Speciality	Clinic/Center
Location	3046 S Bown Way, Boise, Idaho
Authorized Official Name and Position	Meredith Kaye Mangum (OWNER)
Authorized Official Contact	8017938124
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mangum Primary Care Llc 608 S Phillippi St Boise ID 83705-1160 Ph: (801) 793-8124	Mangum Primary Care Llc 3046 S Bown Way Boise ID 83706-5499 Ph: (801) 793-8124

NPI Details:

NPI Number	1194494229
Provider Enumeration Date	09/11/2021
Last Update Date	09/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	0547706509
Medicare Enrollment ID	O20241018001117

Medical Identifiers

Medical identifiers for Mangum Primary Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194494229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mangum Primary Care Llc acts as a billing entity for following providers:

Provider Name	Meredith Mangum
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1740663657 PECOS PAC ID: 6709194830 Enrollment ID: I20151008002877

Reviews and Comments

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Mangum Primary Care Llc - Medicare Primary Care in Boise, ID