Nomagugu Mafu, NP - Medicare Nurse Practitioner in San Bernardino, CA

Nomagugu Mafu, NP is a medicare enrolled "Nurse Practitioner" in San Bernardino, California. Her current practice location is 742 W Highland Ave, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 881-7320.

Nomagugu Mafu is licensed to practice in California (license number 95008825) 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 1770074791.

Contact Information

Nomagugu Mafu, NP
742 W Highland Ave,
San Bernardino, CA 92405-3839
(909) 881-7320
(909) 881-7330

Map and Direction




Provider's Profile

Full NameNomagugu Mafu
GenderFemale
SpecialityNurse Practitioner
Location742 W Highland Ave, San Bernardino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770074791
  • Provider Enumeration Date: 05/24/2018
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193138857
  • Enrollment ID: I20210119002673

Medical Identifiers

Medical identifiers for Nomagugu Mafu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770074791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95008825 (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. Nomagugu Mafu allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameWest Coast Wound And Skin Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437675980
PECOS PAC ID: 7315212834
Enrollment ID: O20171010002105
Entity NamePrompt Healthcare Inc A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386298867
PECOS PAC ID: 2062849722
Enrollment ID: O20200219001818

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. Nomagugu Mafu 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
Nomagugu Mafu, NP
742 W Highland Ave,
San Bernardino, CA 92405-3839

Ph: (909) 881-7320
Nomagugu Mafu, NP
742 W Highland Ave,
San Bernardino, CA 92405-3839

Ph: (909) 881-7320

Reviews and Comments


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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.