Luis Emilio Menjivar, LPN is a
Licensed Practical Nurse based in East Hampton, New York. Luis Emilio Menjivar is licensed to practice in New York (license number 315921-1) and his current practice location is
76 Crystal Dr, East Hampton, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 721-6550.
NPI number for Luis Emilio Menjivar is 1982031480 and his current mailing address is 76 Crystal Dr, East Hampton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982031480.
Provider's Profile
| Full Name | Luis Emilio Menjivar |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 76 Crystal Dr, East Hampton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982031480
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 09/30/2013
Medical Identifiers
Medical identifiers for Luis Emilio Menjivar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982031480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 315921-1 (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. Luis Emilio Menjivar 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 |
|---|
Luis Emilio Menjivar, LPN
76 Crystal Dr,
East Hampton, NY 11937-2031
Ph: (631) 721-6550 | Luis Emilio Menjivar, LPN
76 Crystal Dr,
East Hampton, NY 11937-2031
Ph: (631) 721-6550 |
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