MAVERICK MABAGOS MANGOSING MD
NPI 1881334852
Student in an Organized Health Care Education/Training Program in Maywood, IL

Q: What is Maverick Mangosing's NPI number?

The NPI number for Maverick Mangosing is 1881334852. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Maverick Mangosing's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 29, 2022PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 215-4033 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maverick Mabagos Mangosing Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVERICK MABAGOS MANGOSING MD (NPI 1881334852) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881334852

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMAVERICK MABAGOS MANGOSINGCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address4121 Balington DrValrico, FL 33596-6501

Phone(708) 215-4033

Sole ProprietorNo

Enumeration DateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1881334852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2160 S 1ST AVE, Maywood, IL 60153

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maverick Mabagos Mangosing Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Radiology (Diagnostic Radiology)