Dr Theresa C Fan, DDS in Manhasset, NY - Medicare Dentist Provider

Dr Theresa C Fan, DDS is a medicare enrolled "Dentist - General Practice" provider in Manhasset, New York. Her current practice location is 400 Community Dr, Manhasset, New York. You can reach out to her office (for appointments etc.) via phone at (516) 562-4525.

Dr Theresa C Fan is licensed to practice in New York (license number 0519371) 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 1306921820.

Contact Information

	Dr Theresa C Fan, DDS
	400 Community Dr, Manhasset, NY 11030-3815
	(516) 562-4525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Theresa C Fan
Gender	Female
Speciality	Dentist - General Practice
Location	400 Community Dr, Manhasset, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306921820
Provider Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7618258534
Enrollment ID: I20200810000209

Medical Identifiers

Medical identifiers for Dr Theresa C Fan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306921820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	0519371 (New York)	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. Dr Theresa C Fan allows following entities to bill medicare on her behalf.

Entity Name	Black Hall Dental Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356091516 PECOS PAC ID: 6901283308 Enrollment ID: O20220524000597

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 Theresa C Fan 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
Dr Theresa C Fan, DDS 10 Sicardi Ct, Carle Place, NY 11514-1704 Ph: (516) 997-7461	Dr Theresa C Fan, DDS 400 Community Dr, Manhasset, NY 11030-3815 Ph: (516) 562-4525

Reviews and Comments

Dentist in Manhasset, NY

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Dr. Constantine Stavrinoudis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2110 Northern Blvd Ste 207, Manhasset, NY 11030 Phone: 516-482-5416
Dr. Thea Diane Shive, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 565 Plandome Rd, #141, Manhasset, NY 11030 Phone: 516-330-4430 Fax: 516-624-8317
Dr. Tania M. Winberry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Community Dr, Manhasset, NY 11030 Phone: 516-562-1300

Dr Theresa C Fan, DDS - Medicare Dentist in Manhasset, NY