Alexis Lori Derhagopian, NP - Medicare Nurse Practitioner in Mineola, NY

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Alexis Lori Derhagopian, NP is a medicare enrolled "Nurse Practitioner - Family" in Mineola, New York. Her current practice location is 259 1st St, Mineola, New York. You can reach out to her office (for appointments etc.) via phone at (516) 663-6923.

Alexis Lori Derhagopian is licensed to practice in New York (license number 343863) 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 1336508886.

Contact Information

Alexis Lori Derhagopian, NP
259 1st St,
Mineola, NY 11501-3957
(516) 663-6923
(609) 291-5507

Map and Direction




Provider's Profile

Full NameAlexis Lori Derhagopian
GenderFemale
SpecialityNurse Practitioner - Family
Location259 1st St, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336508886
  • Provider Enumeration Date: 02/12/2016
  • Last Update Date: 02/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688966989
  • Enrollment ID: I20160707000229

Medical Identifiers

Medical identifiers for Alexis Lori Derhagopian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336508886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR16041100 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 343863 (New York)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. Alexis Lori Derhagopian allows following entities to bill medicare on her behalf.
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

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. Alexis Lori Derhagopian 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
Alexis Lori Derhagopian, NP
333 W Broadway,
Long Beach, NY 11561-3936

Ph: (609) 781-4116		Alexis Lori Derhagopian, NP
259 1st St,
Mineola, NY 11501-3957

Ph: (516) 663-6923

Reviews and Comments


Nurse Practitioner Nurses in Mineola, NY

Laura Lorraine Mckenna, NNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2406    Fax: 516-663-3759
Ms. Marina Pavlovic, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 120 Mineola Blvd, Mineola, NY 11501
Phone: 516-663-3000    
Erin Colleen Krause, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Taeseong Kim,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St # Er, Mineola, NY 11501
Phone: 516-663-2201    
Neselda Pabilona Ling, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Julie Lyn Costello, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Mrs. Abigail Rose Mcnall, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Old Country Rd, Suite 370, Mineola, NY 11501
Phone: 516-663-4525    Fax: 516-663-4532

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.