Mrs Saury Mamisay, NP in Long Beach, CA - Medicare Nurse Practitioner

Mrs Saury Mamisay, NP is a medicare enrolled "Nurse Practitioner - Family" in Long Beach, California. Her current practice location is 3145 Julian Ave, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 522-3041.

Mrs Saury Mamisay is licensed to practice in California (license number 95011164) 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 1427515998.

Contact Information

	Mrs Saury Mamisay, NP
	3145 Julian Ave, Long Beach, CA 90808-4436
	(562) 522-3041
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Saury Mamisay
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3145 Julian Ave, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427515998
Provider Enumeration Date: 02/20/2019
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 1557794310
Enrollment ID: I20191209001754

Medical Identifiers

Medical identifiers for Mrs Saury Mamisay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427515998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011164 (California)	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 Saury Mamisay allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Saury Mamisay 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
Mrs Saury Mamisay, NP 3145 Julian Ave, Long Beach, CA 90808-4436 Ph: () -	Mrs Saury Mamisay, NP 3145 Julian Ave, Long Beach, CA 90808-4436 Ph: (562) 522-3041

Reviews and Comments

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Mrs Saury Mamisay, NP - Medicare Nurse Practitioner in Long Beach, CA