Carole L Mangrem, MD in Clarksdale, MS - Pediatrics

Carole L Mangrem, MD is a Pediatrics physician based in Clarksdale, Mississippi. Carole L Mangrem is licensed to practice in Mississippi (license number 07191) and her current practice location is 2245 N Starte St, Clarksdale, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 627-4131.

NPI number for Carole L Mangrem is 1497888457 and her current mailing address is Po Box 1447, Clarksdale, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497888457.

Contact Information

	Carole L Mangrem, MD
	2245 N Starte St, Clarksdale, MS 38614
	(662) 627-4131
	(662) 627-2702

Physician's Profile

Full Name	Carole L Mangrem
Gender	Female
Speciality	Pediatrics
Location	2245 N Starte St, Clarksdale, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1497888457
Provider Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Carole L Mangrem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497888457	NPI	-	NPPES
00114140	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	07191 (Mississippi)	Primary

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. Carole L Mangrem is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carole L Mangrem, MD Po Box 1447, Clarksdale, MS 38614-1447 Ph: (662) 627-4131	Carole L Mangrem, MD 2245 N Starte St, Clarksdale, MS 38614 Ph: (662) 627-4131

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Pediatrics Doctors in Clarksdale, MS

Dorcas Poni Eshun, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Ohio Ave, Clarksdale, MS 38614 Phone: 662-624-2504
Peggy J Wells, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2245 N State St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-2702

Carole L Mangrem, MD - Pediatrics in Clarksdale, MS