Casey Mangnall, PSYD is a medicare enrolled "Counselor - Mental Health" provider in Provo, Utah. Her current practice location is
1300 E Center St, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 344-4400.
Casey Mangnall is licensed to practice in * (Not Available) (license number ) 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 1740739804.
Healthcare Provider's Profile
| Full Name | Casey Mangnall |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 1300 E Center St, Provo, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740739804
- Provider Enumeration Date: 09/29/2016
- Last Update Date: 11/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951836246
- Enrollment ID: I20241122003633
Medical Identifiers
Medical identifiers for Casey Mangnall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740739804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 12377684-2504 (Utah) | Secondary |
| 103TF0200X | Psychologist - Forensic | 12377684-2504 (Utah) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Casey Mangnall allows following entities to bill medicare on her behalf.
| Entity Name | Utah Center For Psychological Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417659186 PECOS PAC ID: 0042745333 Enrollment ID: O20241122003593 |
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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. Casey Mangnall 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 |
Casey Mangnall, PSYD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400 | Casey Mangnall, PSYD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400 |
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