Suby Mammen, NP - Medicare Nurse Practitioner in Gastonia, NC

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Suby Mammen, NP is a medicare enrolled "Nurse Practitioner - Family" in Gastonia, North Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is 2525 Court Dr, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 834-2000.

Suby Mammen is licensed to practice in North Carolina (license number 5010709) 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 1578041562.

Contact Information

Suby Mammen, NP
2525 Court Dr,
Gastonia, NC 28054-2140
(704) 834-2000
Not Available

Map and Direction




Provider's Profile

Full NameSuby Mammen
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2525 Court Dr, Gastonia, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Suby Mammen graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1578041562
  • Provider Enumeration Date: 08/01/2018
  • Last Update Date: 08/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9931451697
  • Enrollment ID: I20181008000631

Medical Identifiers

Medical identifiers for Suby Mammen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578041562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5010709 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551649

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. Suby Mammen allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameMecklenburg Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364535
PECOS PAC ID: 9931196797
Enrollment ID: O20040426001334
Entity NameEastland Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467481127
PECOS PAC ID: 6305852591
Enrollment ID: O20060224000538
Entity NameArboretum Urgent Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457380313
PECOS PAC ID: 8325059991
Enrollment ID: O20060510000344
Entity NameSteele Creek Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750317921
PECOS PAC ID: 9234130907
Enrollment ID: O20070123000481
Entity NameGastonia Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316367691
PECOS PAC ID: 3870719602
Enrollment ID: O20140730002523

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. Suby Mammen 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
Suby Mammen, NP
3352 Mandrake Ct,
Tega Cay, SC 29708-8806

Ph: (803) 389-6725		Suby Mammen, NP
2525 Court Dr,
Gastonia, NC 28054-2140

Ph: (704) 834-2000

Reviews and Comments


Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054
Phone: 704-671-5313    
Jonathan Labayo Desamero, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3715 Union Rd, Gastonia, NC 28056
Phone: 704-854-8202    
Susanna M Shepard, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 609 N Highland St, Gastonia, NC 28052
Phone: 704-853-5294    
Cecily Robin Smith, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 815 Cox Rd, Gastonia, NC 28054
Phone: 704-865-1700    Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054
Phone: 704-864-8302    Fax: 704-864-0228
Nora Davis Paysour, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2000    Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1282 Audubon Dr, Gastonia, NC 28054
Phone: 704-718-4150    

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.