Dr Tszhoderrick Lum, DNP, NP-C - Medicare Nurse Practitioner in Staten Island, NY

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Dr Tszhoderrick Lum, DNP, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. His current practice location is 1424 Richmond Ave Ste C, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 701-8103.

Dr Tszhoderrick Lum is licensed to practice in New York (license number F338988) 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 1346657103.

Contact Information

Dr Tszhoderrick Lum, DNP, NP-C
1424 Richmond Ave Ste C,
Staten Island, NY 10314-1527
(718) 701-8103
(718) 701-8103

Map and Direction




Provider's Profile

Full NameDr Tszhoderrick Lum
GenderMale
SpecialityNurse Practitioner - Family
Location1424 Richmond Ave Ste C, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346657103
  • Provider Enumeration Date: 07/14/2014
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901129717
  • Enrollment ID: I20160219000768

Medical Identifiers

Medical identifiers for Dr Tszhoderrick Lum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346657103NPI-NPPES
04315519MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R192541 (Maryland)Secondary
363LF0000XNurse Practitioner - Family RN1034607 (District Of Columbia)Secondary
363LF0000XNurse Practitioner - Family F338988 (New York)Primary
363LF0000XNurse Practitioner - Family 0024171969 (Virginia)Secondary

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. Dr Tszhoderrick Lum allows following entities to bill medicare on his behalf.
Entity NameWellness Family Health Np, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841903192
PECOS PAC ID: 5193198927
Enrollment ID: O20230227001228

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. Dr Tszhoderrick Lum 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
Dr Tszhoderrick Lum, DNP, NP-C
1424 Richmond Ave Ste C,
Staten Island, NY 10314-1527

Ph: (718) 701-8103		Dr Tszhoderrick Lum, DNP, NP-C
1424 Richmond Ave Ste C,
Staten Island, NY 10314-1527

Ph: (718) 701-8103

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.

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