Tristan Roman Lubina, - Medicare Nurse Practitioner in Salt Lake City, UT

Tristan Roman Lubina, is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. His current practice location is 1501 University Vlg, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 587-7000.

Tristan Roman Lubina is licensed to practice in Utah (license number 12345127-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699360065.

Contact Information

Tristan Roman Lubina,
1501 University Vlg,
Salt Lake City, UT 84108-3522
(801) 587-7000
Not Available

Map and Direction




Provider's Profile

Full NameTristan Roman Lubina
GenderMale
SpecialityNurse Practitioner
Location1501 University Vlg, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699360065
  • Provider Enumeration Date: 03/07/2021
  • Last Update Date: 07/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315341526
  • Enrollment ID: I20210810003999

Medical Identifiers

Medical identifiers for Tristan Roman Lubina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699360065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0200XRegistered Nurse - Oncology 10670291-3102 (Utah)Secondary
363L00000XNurse Practitioner 12345127-4405 (Utah)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. Tristan Roman Lubina allows following entities to bill medicare on his behalf.
Entity NameMa Bo Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740461219
PECOS PAC ID: 1254399652
Enrollment ID: O20050103000257

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. Tristan Roman Lubina 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
Tristan Roman Lubina,
650 Round Valley Dr,
Park City, UT 84060-7571

Ph: () -
Tristan Roman Lubina,
1501 University Vlg,
Salt Lake City, UT 84108-3522

Ph: (801) 587-7000

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.