Dr Amil Kusain Tan Jr, PHD, RN, FNP in Woodside, NY

Dr Amil Kusain Tan Jr, PHD, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Woodside, New York. His current practice location is 5718 Woodside Ave Ste 101, Woodside, New York. You can reach out to his office (for appointments etc.) via phone at (917) 633-7710.

Dr Amil Kusain Tan Jr is licensed to practice in New York (license number 354353) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467293126.

Contact Information

	Dr Amil Kusain Tan Jr, PHD, RN, FNP
	5718 Woodside Ave Ste 101, Woodside, NY 11377-3400
	(917) 633-7710
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Amil Kusain Tan Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5718 Woodside Ave Ste 101, Woodside, 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: 1467293126
Provider Enumeration Date: 06/05/2024
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3072031194
Enrollment ID: I20250513001431

Medical Identifiers

Medical identifiers for Dr Amil Kusain Tan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467293126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	354353 (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 Amil Kusain Tan Jr allows following entities to bill medicare on his behalf.

Entity Name	Alicia Almendral, Md, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083930945 PECOS PAC ID: 5698960656 Enrollment ID: O20200429000102

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 Amil Kusain Tan Jr 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 Amil Kusain Tan Jr, PHD, RN, FNP 5718 Woodside Ave Ste 101, Woodside, NY 11377-3400 Ph: () -	Dr Amil Kusain Tan Jr, PHD, RN, FNP 5718 Woodside Ave Ste 101, Woodside, NY 11377-3400 Ph: (917) 633-7710

Reviews and Comments

Nurse Practitioner Nurses in Woodside, NY

Miss Miok Lim-drakatos, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 Queens Blvd, Woodside, NY 11377 Phone: 718-205-0287
Shanti Maharjan, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4125 57th St, Woodside, NY 11377 Phone: 718-671-2100
Mr. Edward A Williams, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6110 Queens Blvd, 2nd Floor, Woodside, NY 11377 Phone: 718-397-2002 Fax: 646-524-8323
Ms. Adaobi Udemba, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5010 63rd St, Top Floor, Woodside, NY 11377 Phone: 917-378-2887
Eun Sung Choi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3530 64th St, Woodside, NY 11377 Phone: 718-205-6561 Fax: 718-205-4815
Mrs. Evelyn Brobbey, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6110 Queens Blvd, 2nd Floor, Woodside, NY 11377 Phone: 212-609-4011
Salvador Agojo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5140 59th St, Woodside, NY 11377 Phone: 718-339-2931

Dr Amil Kusain Tan Jr, PHD, RN, FNP - Medicare Nurse Practitioner in Woodside, NY