Mrs Sandra Shivamber, FNP - Medicare Nurse Practitioner in Lake Success, NY

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Mrs Sandra Shivamber, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Success, New York. Her current practice location is 1991 Marcus Ave, Suite M107, Lake Success, New York. You can reach out to her office (for appointments etc.) via phone at (516) 222-2288.

Mrs Sandra Shivamber is licensed to practice in New York (license number F335980-1) 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 1265741292.

Contact Information

Mrs Sandra Shivamber, FNP
1991 Marcus Ave, Suite M107,
Lake Success, NY 11042
(516) 222-2288
(516) 745-0976

Map and Direction




Provider's Profile

Full NameMrs Sandra Shivamber
GenderFemale
SpecialityNurse Practitioner - Family
Location1991 Marcus Ave, Lake Success, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265741292
  • Provider Enumeration Date: 09/24/2010
  • Last Update Date: 09/13/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3870728132
  • Enrollment ID: I20131023000769

Medical Identifiers

Medical identifiers for Mrs Sandra Shivamber such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265741292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 335980 (New York)Secondary
363LF0000XNurse Practitioner - Family F335980-1 (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. Mrs Sandra Shivamber allows following entities to bill medicare on her behalf.
Entity NameNorthwell Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215019500
PECOS PAC ID: 3971531039
Enrollment ID: O20070215000718

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. Mrs Sandra Shivamber 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
Mrs Sandra Shivamber, FNP
1991 Marcus Ave, M107,
Lake Success, NY 11042

Ph: (516) 222-2288		Mrs Sandra Shivamber, FNP
1991 Marcus Ave, Suite M107,
Lake Success, NY 11042

Ph: (516) 222-2288

Reviews and Comments


Nurse Practitioner Nurses in Lake Success, NY

Mrs. Heather Sulzbach,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1999 Marcus Ave, Suite 120, Lake Success, NY 11042
Phone: 516-466-6611    Fax: 516-466-6611
Patricia Ann Rogers, R.N., A.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 450 Lakeville Rd., Lake Success, NY 11042
Phone: 516-734-8070    Fax: 516-734-8016
Mrs. Dina M Barbarino, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1999 Marcus Avenue, Suite 110, Lake Success, NY 11042
Phone: 516-355-5525    Fax: 516-355-5531
Yalissa Taveras, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2001 Marcus Avenue, Suite W290, Lake Success, NY 11042
Phone: 516-465-5255    Fax: 718-347-2240
Elzbieta Galanty, MS,RN, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 450 Lakeville Road, Lake Success, NY 11042
Phone: 516-734-8070    
Maxine Hines, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 450 Lakeville Road, Lake Success, NY 11040
Phone: 516-734-7400    

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.