Shirley Rachel Mamiye, is a medicare enrolled "Licensed Practical Nurse" in Allenhurst, New Jersey. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Np Services Llc and her current practice location is
608 Laurel Ave, Allenhurst, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(718) 208-6747.
Shirley Rachel Mamiye is licensed to practice in New Jersey (license number 26NJ01147000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740863893.
Provider's Profile
| Full Name | Shirley Rachel Mamiye |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 608 Laurel Ave, Allenhurst, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shirley Rachel Mamiye graduated from nursing school in 2020
NPI Data:
- NPI Number: 1740863893
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577959022
- Enrollment ID: I20220408001542
Medical Identifiers
Medical identifiers for Shirley Rachel Mamiye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740863893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 164W00000X | Licensed Practical Nurse | 26NJ01147000 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Personal Np Services Llc | 9335455179 | 41 |
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. Shirley Rachel Mamiye allows following entities to bill medicare on her behalf.
| Entity Name | Personal Np Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649658105
PECOS PAC ID: 9335455179
Enrollment ID: O20150825003750 |
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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. Shirley Rachel Mamiye 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 |
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Shirley Rachel Mamiye,
608 Laurel Ave,
Allenhurst, NJ 07711-1420
Ph: (718) 208-6747 | Shirley Rachel Mamiye,
608 Laurel Ave,
Allenhurst, NJ 07711-1420
Ph: (718) 208-6747 |
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