Mirta Lugo, APRN in Dover, FL - Medicare Nurse Practitioner

Mirta Lugo, APRN is a medicare enrolled "Nurse Practitioner - Community Health" in Dover, Florida. Her current practice location is 14254 Dr Martin Luther King Jr Blvd, Dover, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 653-6100.

Mirta Lugo is licensed to practice in Florida (license number APRN11021969) 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 1336860493.

Contact Information

	Mirta Lugo, APRN
	14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527-4414
	(813) 653-6100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mirta Lugo
Gender	Female
Speciality	Nurse Practitioner - Community Health
Location	14254 Dr Martin Luther King Jr Blvd, Dover, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336860493
Provider Enumeration Date: 09/07/2022
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6204204514
Enrollment ID: I20221117001189

Medical Identifiers

Medical identifiers for Mirta Lugo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336860493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	9193993 (Florida)	Secondary
363LC1500X	Nurse Practitioner - Community Health	APRN11021969 (Florida)	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. Mirta Lugo allows following entities to bill medicare on her behalf.

Entity Name	Suncoast Community Health Centers, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285644799 PECOS PAC ID: 3870402548 Enrollment ID: O20040107000797

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. Mirta Lugo 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
Mirta Lugo, APRN 904 Belle Timbre Ave, Brandon, FL 33511-7583 Ph: (813) 333-8781	Mirta Lugo, APRN 14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527-4414 Ph: (813) 653-6100

Reviews and Comments

Nurse Practitioner Nurses in Dover, FL

Ms. Carol Nelson Handley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-651-5658 Fax: 813-349-7861
Betsabeth L Treyes, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3405 Kearsney Abbey Cir, Dover, FL 33527 Phone: 813-760-3079
Sandi Bernice Lamb-wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527 Phone: 813-653-6100
Marissa Lawson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14926 Salem Church Rd, Dover, FL 33527 Phone: 401-256-3172
Mr. Jacob Lynch, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14254 Sr 574, Dover, FL 33527 Phone: 813-653-6100 Fax: 813-938-6422

Mirta Lugo, APRN - Medicare Nurse Practitioner in Dover, FL