Dr Alexis Tam Mugno, DPM - Medicare Podiatrist in Orange Park, FL

Dr Alexis Tam Mugno, DPM is a medicare enrolled "Podiatrist" provider in Orange Park, Florida. She went to Barry University School Of Podiatric Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Southeast Orthopedic Specialists Llc and her current practice location is 2300 Park Ave Ste 206, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 634-0640.

Dr Alexis Tam Mugno is licensed to practice in Florida (license number PO4300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104480284.

Contact Information

Dr Alexis Tam Mugno, DPM
2300 Park Ave Ste 206,
Orange Park, FL 32073-5573
(904) 634-0640
(904) 634-0203

Map and Direction




Healthcare Provider's Profile

Full NameDr Alexis Tam Mugno
GenderFemale
SpecialityPodiatry
Experience5 Years
Location2300 Park Ave Ste 206, Orange Park, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Alexis Tam Mugno attended and graduated from Barry University School Of Podiatric Medicine in 2019
  NPI Data:
  • NPI Number: 1104480284
  • Provider Enumeration Date: 04/24/2019
  • Last Update Date: 02/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244627669
  • Enrollment ID: I20220503001091

Medical Identifiers

Medical identifiers for Dr Alexis Tam Mugno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104480284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist PO4300 (Florida)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent's Clay CountyMiddleburg, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Orthopedic Specialists Llc1456246974111

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. Dr Alexis Tam Mugno allows following entities to bill medicare on her behalf.
Provider NameSoutheast Orthopedic Specialists Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629025820
PECOS PAC ID: 1456246974
Enrollment ID: O20040216000301

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. Dr Alexis Tam Mugno 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
Dr Alexis Tam Mugno, DPM
6800 Southpoint Pkwy Ste 300,
Jacksonville, FL 32216-8203

Ph: (904) 634-0640
Dr Alexis Tam Mugno, DPM
2300 Park Ave Ste 206,
Orange Park, FL 32073-5573

Ph: (904) 634-0640

Reviews and Comments


Podiatrist in Orange Park, FL

Podiatry Associates Of Florida Inc
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Practice Location: 2140 Kingsley Ave, Ste 12, Orange Park, FL 32073
Phone: 904-272-7070    Fax: 904-272-3668
Dr. Tyler Kenneth Sorensen, DPM
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Barry L Efron, DPM
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Dr. Brittany A Lovett, DPM
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Ankle Foot And Leg Centers Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 3075 Chestnut Ridge Way, Orange Park, FL 32065
Phone: 321-591-8039    Fax: 904-467-3577

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.