Dr Viviane Mamlok, MD in Lubbock, TX

Dr Viviane Mamlok, MD is a medicare enrolled "Pathology - Pediatric Pathology" physician in Lubbock, Texas. Her current practice location is 3601 4th St, 1a115, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 743-2155.

Dr Viviane Mamlok is licensed to practice in Texas (license number H0597) 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 1073516993.

Contact Information

	Dr Viviane Mamlok, MD
	3601 4th St, 1a115, Lubbock, TX 79430-0002
	(806) 743-2155
	(806) 743-2117

Map and Direction

Physician's Profile

Full Name	Dr Viviane Mamlok
Gender	Female
Speciality	Pathology - Pediatric Pathology
Location	3601 4th St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073516993
Provider Enumeration Date: 05/24/2005
Last Update Date: 07/12/2007

Medicare PECOS Information:

PECOS PAC ID: 0143257550
Enrollment ID: I20050718000621

Medical Identifiers

Medical identifiers for Dr Viviane Mamlok such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073516993	NPI	-	NPPES
A120	Other		TRIWEST
52453	Medicaid	NM
82P200	Other	TX	BLUE CROSS & BLUE SHIELD
52453	Other	NM	PRESBYTERIAN COMMERCIAL
80816Z	Other	TX	HMO BLUE
J6446	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0101X	Pathology - Anatomic Pathology	H0597 (Texas)	Secondary
207ZP0213X	Pathology - Pediatric Pathology	H0597 (Texas)	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. Dr Viviane Mamlok allows following entities to bill medicare on her behalf.

Entity Name	Texas Tech University Health Sciences Center Lubbock
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468

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 Viviane Mamlok 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
Dr Viviane Mamlok, MD Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898	Dr Viviane Mamlok, MD 3601 4th St, 1a115, Lubbock, TX 79430-0002 Ph: (806) 743-2155

Reviews and Comments

Pathology Doctors in Lubbock, TX

Dr. Safaa S. Labib, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Suite 1a115, Lubbock, TX 79430 Phone: 806-743-2155 Fax: 806-743-2117
Luis H Brandi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Stop 8115, Lubbock, TX 79430 Phone: 806-743-2155 Fax: 806-743-2117
Dr. Hugh H Paik, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-744-1887 Fax: 806-744-5545
Dr. Sridhar Natarajan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4434 S Loop 289, Sridhar Natarajan Chief Medical Examiner, Lubbock, TX 79414 Phone: 806-687-9434 Fax: 806-687-9438
Dr. Ruc Manh Tran, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, 1a115, Lubbock, TX 79430 Phone: 806-743-2155 Fax: 806-743-2117
Dr. Thomas Randolph Mattison, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 410 N Utica Ave, Lubbock, TX 79416 Phone: 806-776-1098 Fax: 806-771-2078

Dr Viviane Mamlok, MD - Medicare Pathology in Lubbock, TX