Ivy Tan Meneses, is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Commack, New York. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore-lij Medical Pc and her current practice location is
27 Cottonwood Dr, Commack, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 875-1851.
Ivy Tan Meneses is licensed to practice in New York (license number F431560-01) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629626221.
Physician's Profile
| Full Name | Ivy Tan Meneses |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 27 Cottonwood Dr, Commack, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ivy Tan Meneses graduated from medical school in 2020
NPI Data:
- NPI Number: 1629626221
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618308297
- Enrollment ID: I20200514002486
Medical Identifiers
Medical identifiers for Ivy Tan Meneses such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629626221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 431560 (New York) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | F431560-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| North Shore-lij Medical Pc | 3375701568 | 5625 |
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. Ivy Tan Meneses allows following entities to bill medicare on her behalf.
| 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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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. Ivy Tan Meneses 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 |
Ivy Tan Meneses, 300 Community Dr, Manhasset, NY 11030-3816 Ph: (631) 875-1851 | Ivy Tan Meneses, 27 Cottonwood Dr, Commack, NY 11725-2420 Ph: (631) 875-1851 |
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