Mallory Nakamura, PA - Medicare Physician Assistant in Bethpage, NY

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Mallory Nakamura, PA is a medicare enrolled "Physician Assistant - Medical" in Bethpage, New York. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Montefiore Medical Center and her current practice location is 4295 Hempstead Tpke, Bethpage, New York. You can reach out to her office (for appointments etc.) via phone at (516) 579-6000.

Mallory Nakamura is licensed to practice in New York (license number 024639) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558994574.

Contact Information

Mallory Nakamura, PA
4295 Hempstead Tpke,
Bethpage, NY 11714-5713
(516) 579-6000
Not Available

Map and Direction




Provider's Profile

Full NameMallory Nakamura
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location4295 Hempstead Tpke, Bethpage, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mallory Nakamura graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1558994574
  • Provider Enumeration Date: 02/18/2020
  • Last Update Date: 12/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658709753
  • Enrollment ID: I20200324002938

Medical Identifiers

Medical identifiers for Mallory Nakamura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558994574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 024639 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montefiore Medical CenterBronx, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Montefiore Medical Center37794960212809

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. Mallory Nakamura allows following entities to bill medicare on her behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619245610
PECOS PAC ID: 4082518006
Enrollment ID: O20040210000431
Entity NameSt. Joseph Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881799153
PECOS PAC ID: 1254222938
Enrollment ID: O20040323000142
Entity NameProgressive Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588098172
PECOS PAC ID: 8820225956
Enrollment ID: O20131218000289

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. Mallory Nakamura 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
Mallory Nakamura, PA
1400 Pelham Pkwy S Ste 1213,
Bronx, NY 10461-1197

Ph: (718) 918-5599		Mallory Nakamura, PA
4295 Hempstead Tpke,
Bethpage, NY 11714-5713

Ph: (516) 579-6000

Reviews and Comments


Physician Assistant Nurses in Bethpage, NY

James Bantel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714
Phone: 516-579-6000    
Joel La Watson, P.A
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714
Phone: 516-579-6000    
Lisa Abraham, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714
Phone: 516-579-6000    
Charles Ferrer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 185 Central Ave, Bethpage, NY 11714
Phone: 516-758-8600    
Zeba Memon, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714
Phone: 516-520-2500    
Joann Holmes, R.P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 120 Hicksville Rd, Bethpage, NY 11714
Phone: 516-714-3283    Fax: 516-232-9789
Mr. John A Cavagnaro, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4295 Hempstead Turnpike, Critical Care Medicne, Bethpage, NY 11714
Phone: 516-579-6000    

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.