Shiny Sony Varghese, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Albertson, New York. Her current practice location is
10 Valentine Dr, Albertson, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 353-1410.
Shiny Sony Varghese is licensed to practice in New York (license number F382182) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275837445.
Provider's Profile
Full Name | Shiny Sony Varghese |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 10 Valentine Dr, Albertson, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275837445
- Provider Enumeration Date: 01/03/2011
- Last Update Date: 01/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 4981904240
- Enrollment ID: I20151118002876
Medical Identifiers
Medical identifiers for Shiny Sony Varghese such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275837445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | F382182 (New York) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | 9228048 (Florida) | 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. Shiny Sony Varghese allows following entities to bill medicare on her behalf.
Entity Name | Jamaica Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
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Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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Entity Name | North Shore Lij Urgent Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
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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. Shiny Sony Varghese 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 Address | Practice Location Address |
Shiny Sony Varghese, CPNP 10 Valentine Dr, Albertson, NY 11507-2222 Ph: (516) 343-1410 | Shiny Sony Varghese, CPNP 10 Valentine Dr, Albertson, NY 11507-2222 Ph: (516) 353-1410 |
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