Mini Susan Mammen, - Medicare Nurse Practitioner in Great Neck, NY

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Mini Susan Mammen, is a medicare enrolled "Nurse Practitioner - Family" in Great Neck, New York. Her current practice location is 310 E Shore Rd, Great Neck, New York. You can reach out to her office (for appointments etc.) via phone at (516) 482-8657.

Mini Susan Mammen is licensed to practice in New York (license number F344251) 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 1780241398.

Contact Information

Mini Susan Mammen,
310 E Shore Rd,
Great Neck, NY 11023-2410
(516) 482-8657
Not Available

Map and Direction




Provider's Profile

Full NameMini Susan Mammen
GenderFemale
SpecialityNurse Practitioner - Family
Location310 E Shore Rd, Great Neck, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780241398
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 11/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0446658033
  • Enrollment ID: I20211012003230

Medical Identifiers

Medical identifiers for Mini Susan Mammen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780241398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SF0001XClinical Nurse Specialist - Family Health F344251 (New York)Secondary
363LF0000XNurse Practitioner - Family F344251 (New York)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. Mini Susan Mammen 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 AddressPractice Location Address
Mini Susan Mammen,
475 Beech St,
New Hyde Park, NY 11040-3825

Ph: (718) 598-0529		Mini Susan Mammen,
310 E Shore Rd,
Great Neck, NY 11023-2410

Ph: (516) 482-8657

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.