Luz Bernabe, MD
Individual provider Active NPI Emergency Medicine Physician · Pago Pago, AS
NPI 1497300222 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1497300222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4125C (AS)
- Practice address
- 1 Dr Paul Turner Drive
Pago Pago, AS 96799 - Phone
- (684) 633-1222
- Fax
- (684) 633-1839
- NPI assigned
- Aug 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240322002141 | AS | Practitioner - Emergency Medicine | 2163869306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4125C | AS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Samoa Medical Center | Internal Medicine | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4125C | AS | |
| Emergency Medicine Physician | 207P00000X | 4125C | AS | Yes |
Addresses
Primary practice location
1 Dr Paul Turner Drive
Pago Pago, AS 96799
Mailing address
1 Dr Paul Turner Drive
Pago Pago, AS 96799
Phone (684) 633-1222
Other practice location 1
96799 Turner Drive
pago pago, AS 96799-0010
Phone (684) 633-1222 ext. 601
Other providers in Pago Pago, AS
- Mary Rose Aragon
- Gloria Avalos
- Bessie Ayala
- Miliakere Baleilevuka
- Gary Cruz Bernabe
- Josephine S Bernhardt
- Peni Moi Biukoto
- Ana Jane Bontia
- Saiasi Caginidaveta
- Darius Carpitanos
All providers in Pago Pago, AS · Emergency Medicine Physician in American Samoa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.