MARICON BAS N.P. - NPI 1083040075 - Nurse Practitioner in Locust Valley, NY

Q: What is Maricon Bas's NPI number?

The NPI number for Maricon Bas is 1083040075. It was assigned to this individual provider in the NPPES registry on September 23, 2013.

Q: What is Maricon Bas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Maricon Bas was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Maricon Bas N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARICON BAS N.P. (NPI 1083040075) is an individual adult health provider in Locust Valley, New York, licensed in New York (309238) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Great River.

NPPES Registry Identity

NPI1083040075

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARICON BASCredential: N.P.

Location Address480 FOREST AVELocust Valley, NY 11560-2151

Mailing Address73 7th Ave NHuntington Station, NY 11746-2208 · (631) 948-4040

Phone(516) 759-5406

Sole ProprietorYes

Enumeration DateSeptember 23, 2013

Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1083040075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 309238

Also ListedRegistered NurseTaxonomy 163W00000X · License 643137 (NY)

480 FOREST AVE, Locust Valley, NY 11560

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Secondary Practice Location 1

Location 13500 Sunrise Hwy Ste 124Great River, NY 11739-1001 · Phone (631) 854-0369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maricon Bas N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LOBO MD

Internal Medicine (Rheumatology)