Lora Lumubos Mamuyac, AGPCNP in Holtsville, NY

Lora Lumubos Mamuyac, AGPCNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Holtsville, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice John T Mather Memorial Hospital, Stony Brook Internists University Faculty Practice Corporation and her current practice location is 18 1st Ave, Holtsville, New York. You can reach out to her office (for appointments etc.) via phone at (631) 902-8439.

Lora Lumubos Mamuyac is licensed to practice in New York (license number F307956-1) 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 1275053142.

Contact Information

	Lora Lumubos Mamuyac, AGPCNP
	18 1st Ave, Holtsville, NY 11742-4208
	(631) 902-8439
	Not Available

Map and Direction

Provider's Profile

Full Name	Lora Lumubos Mamuyac
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	18 1st Ave, Holtsville, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lora Lumubos Mamuyac graduated from nursing school in 2016

NPI Data:

NPI Number: 1275053142
Provider Enumeration Date: 06/22/2017
Last Update Date: 06/22/2017

Medicare PECOS Information:

PECOS PAC ID: 2769744036
Enrollment ID: I20180326002534

Medical Identifiers

Medical identifiers for Lora Lumubos Mamuyac such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275053142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F307956-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John T Mather Memorial Hospital	1254237753	140
Stony Brook Internists University Faculty Practice Corporation	9133019821	373

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. Lora Lumubos Mamuyac allows following entities to bill medicare on her behalf.

Entity Name	Long Island Community Hospital At Nyu Langone Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417232760 PECOS PAC ID: 9739090051 Enrollment ID: O20031218000695

Entity Name	John T Mather Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932296316 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754

Entity Name	Stony Brook Internists University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248

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. Lora Lumubos Mamuyac 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
Lora Lumubos Mamuyac, AGPCNP 18 1st Ave, Holtsville, NY 11742-4208 Ph: (631) 902-8439	Lora Lumubos Mamuyac, AGPCNP 18 1st Ave, Holtsville, NY 11742-4208 Ph: (631) 902-8439

Reviews and Comments

Nurse Practitioner Nurses in Holtsville, NY

Tammy Lauren Favaro, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16 Storm Dr, Holtsville, NY 11742 Phone: 516-658-5064
Ms. Catherine J Sullivan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5537 Expressway Dr N, Holtsville, NY 11742 Phone: 631-758-3336
Beth Ann Murray, MS,NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5537 Expressway Dr N, Holtsville, NY 11742 Phone: 631-758-3336 Fax: 631-758-9709
Sivaranjani Ramamoorthy, DNP, ANP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 99 Gazebo Ln, Holtsville, NY 11742 Phone: 631-730-7582
Gertha Therese Benoit-hollis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Fisk Rd, Holtsville, NY 11742 Phone: 516-768-9560
Mrs. Mary Jeanne Creamer, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 9th Ave, Holtsville, NY 11742 Phone: 631-207-0070

Lora Lumubos Mamuyac, AGPCNP - Medicare Nurse Practitioner in Holtsville, NY