Marvin Louie Custodio Enerio, in New York, NY

Marvin Louie Custodio Enerio, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Bailey House Inc, Housing Works Services Inc. and his current practice location is 1468 Madison Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (347) 862-8973.

Marvin Louie Custodio Enerio is licensed to practice in New York (license number 403815) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1952065260.

Contact Information

	Marvin Louie Custodio Enerio,
	1468 Madison Ave, New York, NY 10029-6508
	(347) 862-8973
	Not Available

Map and Direction

Provider's Profile

Full Name	Marvin Louie Custodio Enerio
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1468 Madison Ave, New York, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marvin Louie Custodio Enerio graduated from nursing school in 2021

NPI Data:

NPI Number: 1952065260
Provider Enumeration Date: 10/25/2021
Last Update Date: 02/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2264828987
Enrollment ID: I20220406001334

Medical Identifiers

Medical identifiers for Marvin Louie Custodio Enerio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952065260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403815 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bailey House Inc	4385870203	3
Housing Works Services Inc.	6204008923	5

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. Marvin Louie Custodio Enerio allows following entities to bill medicare on his behalf.

Entity Name	Housing Works Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831122977 PECOS PAC ID: 6204008923 Enrollment ID: O20111004000024

Entity Name	Bailey House Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083820583 PECOS PAC ID: 4385870203 Enrollment ID: O20170125003003

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. Marvin Louie Custodio Enerio 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 Address	Practice Location Address
Marvin Louie Custodio Enerio, 362 W 116th St Apt 2b, New York, NY 10026-2068 Ph: (347) 862-8973	Marvin Louie Custodio Enerio, 1468 Madison Ave, New York, NY 10029-6508 Ph: (347) 862-8973

Reviews and Comments

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Marvin Louie Custodio Enerio, - Medicare Nurse Practitioner in New York, NY