Lora Lumubos Mamuyac, AGPCNP - Medicare Nurse Practitioner in Holtsville, NY

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Lora Lumubos Mamuyac, AGPCNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Holtsville, New York. Her current practice location is 18 1st Ave, Holtsville, New York. You can reach out to her office (for appointments etc.) via phone at (631) 902-8439.

Lora Lumubos Mamuyac is licensed to practice in New York (license number F307956-1) 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 1275053142.

Contact Information

Lora Lumubos Mamuyac, AGPCNP
18 1st Ave,
Holtsville, NY 11742-4208
(631) 902-8439
Not Available

Map and Direction




Provider's Profile

Full NameLora Lumubos Mamuyac
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location18 1st Ave, Holtsville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275053142
  • Provider Enumeration Date: 06/22/2017
  • Last Update Date: 06/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769744036
  • Enrollment ID: I20180326002534

Medical Identifiers

Medical identifiers for Lora Lumubos Mamuyac such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275053142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F307956-1 (New York)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. Lora Lumubos Mamuyac allows following entities to bill medicare on her behalf.
Entity NameLong Island Community Hospital At Nyu Langone Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417232760
PECOS PAC ID: 9739090051
Enrollment ID: O20031218000695
Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376642371
PECOS PAC ID: 1254237753
Enrollment ID: O20040316000754
Entity NameStony Brook Internists University Faculty Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821035601
PECOS PAC ID: 9133019821
Enrollment ID: O20040416000248

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. Lora Lumubos Mamuyac 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
Lora Lumubos Mamuyac, AGPCNP
18 1st Ave,
Holtsville, NY 11742-4208

Ph: (631) 902-8439		Lora Lumubos Mamuyac, AGPCNP
18 1st Ave,
Holtsville, NY 11742-4208

Ph: (631) 902-8439

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.