Miss Lisa Marie Mirabito, LPN is a
Licensed Practical Nurse based in Bayville, New York. Miss Lisa Marie Mirabito is licensed to practice in New York (license number 1419841) and her current practice location is
23 Perry Ave, Bayville, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 697-1191.
NPI number for Miss Lisa Marie Mirabito is 1366627549 and her current mailing address is 23 Perry Ave, Bayville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366627549.
Provider's Profile
Full Name | Miss Lisa Marie Mirabito |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 23 Perry Ave, Bayville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366627549
- Provider Enumeration Date: 01/07/2008
- Last Update Date: 01/07/2008
Medical Identifiers
Medical identifiers for Miss Lisa Marie Mirabito such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366627549 | NPI | - | NPPES |
01447447 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 1419841 (New York) | Primary |
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. Miss Lisa Marie Mirabito is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Lisa Marie Mirabito, LPN 23 Perry Ave, Bayville, NY 11709-2603 Ph: (631) 697-1191 | Miss Lisa Marie Mirabito, LPN 23 Perry Ave, Bayville, NY 11709-2603 Ph: (631) 697-1191 |
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