Ms Mylene Manongsong Jumalon, FNP in East Syracuse, NY

Ms Mylene Manongsong Jumalon, FNP is a medicare enrolled "Nurse Practitioner - Family" in East Syracuse, New York. Her current practice location is 6620 Fly Rd Ste 100, East Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-4472.

Ms Mylene Manongsong Jumalon is licensed to practice in New York (license number F336192-1) 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 1871897884.

Contact Information

	Ms Mylene Manongsong Jumalon, FNP
	6620 Fly Rd Ste 100, East Syracuse, NY 13057-4281
	(315) 464-4472
	(315) 464-5222

Map and Direction

Provider's Profile

Full Name	Ms Mylene Manongsong Jumalon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6620 Fly Rd Ste 100, East Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871897884
Provider Enumeration Date: 01/05/2011
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 0547429185
Enrollment ID: I20120316000608

Medical Identifiers

Medical identifiers for Ms Mylene Manongsong Jumalon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871897884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F336192-1 (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. Ms Mylene Manongsong Jumalon allows following entities to bill medicare on her behalf.

Entity Name	United Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020

Entity Name	Bhupinder Singh Bolla Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336490663 PECOS PAC ID: 1153574520 Enrollment ID: O20130115000224

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. Ms Mylene Manongsong Jumalon 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
Ms Mylene Manongsong Jumalon, FNP 6620 Fly Rd Ste 200, East Syracuse, NY 13057-4282 Ph: (315) 464-5551	Ms Mylene Manongsong Jumalon, FNP 6620 Fly Rd Ste 100, East Syracuse, NY 13057-4281 Ph: (315) 464-4472

Reviews and Comments

Nurse Practitioner Nurses in East Syracuse, NY

Wilma P George, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 Phone: 315-472-7504 Fax: 315-634-5170
Keli A Evans, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4939 Brittonfield Pkwy Ste 202, East Syracuse, NY 13057 Phone: 315-634-6699 Fax: 315-703-1921
Laura J. Campbell, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 Phone: 315-472-7504
Jessica Lynn Lokay, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Creek Cir, East Syracuse, NY 13057 Phone: 315-413-3375
Alexandra Ann Zimmermann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 Phone: 315-472-7504 Fax: 315-479-8639
Rachael Louise Cavelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4939 Brittonfield Pkwy, Cny Family Care, East Syracuse, NY 13057 Phone: 315-463-1600 Fax: 315-634-6766
M Rachel Hart, R.N. C.A N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 824 Franklin Park Dr, East Syracuse, NY 13057 Phone: 315-432-1048

Ms Mylene Manongsong Jumalon, FNP - Medicare Nurse Practitioner in East Syracuse, NY