JENNIE CRAIG MANGUN MD NPI 1457327272

Pediatrics in New Bern, NC

NPI 1457327272 Individual Female Pediatrics PECOS Enrolled

About JENNIE MANGUN

Jennie Mangun is a pediatrician established in New Bern, North Carolina and her medical specialization is pediatrics. The NPI number of Jennie Mangun is 1457327272 and was assigned on February 2006. The practitioner's primary taxonomy code is 208000000X with license number 009000700 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A pediatrician like Jennie Craig Mangun Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Jennie Mangun is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jennie Mangun is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1457327272

Provider Name JENNIE CRAIG MANGUN MD
Provider Location Address2636 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562
Provider Mailing AddressPO BOX 896206 CHARLOTTE, NC 28289
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-23-2006
Last Update Date07-30-2019


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.009000700
License StateNC
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

JENNIE CRAIG MANGUN MD
2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562
Phone: (252) 636-1919
Fax: (252) 636-2656

Get Directions


Mailing Address

JENNIE CRAIG MANGUN MD
PO BOX 896206
CHARLOTTE, NC
ZIP 28289
Phone: (252) 636-1919
Fax: (252) 636-2656



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
141Y6OTHER (01)NC
5903648MEDICAID (05)NC

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235430976CAROLINAEAST PHYSICIANS
Organization
Pediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
1194719344 KRISTI D GORDIN MD
Individual
Pediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
1124011523 MARCUS CRAIG WHALEY MD
Individual
Pediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
1215900337DR. REBECCA C. H. RILEY MD
Individual
Pediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
1043448582 COLIN MARK EVANS MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
1316301955 JENNIFER LOUISE SMITH M.D.
Individual
Pediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.