Ivan Li, NP - Medicare Nurse Practitioner in Commack, NY

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Ivan Li, NP is a medicare enrolled "Nurse Practitioner" in Commack, New York. His current practice location is 214 Indian Head Rd, Commack, New York. You can reach out to his office (for appointments etc.) via phone at (917) 607-3818.

Ivan Li is licensed to practice in New York (license number 311752) 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 1295587798.

Contact Information

Ivan Li, NP
214 Indian Head Rd,
Commack, NY 11725-1310
(917) 607-3818
Not Available

Map and Direction




Provider's Profile

Full NameIvan Li
GenderMale
SpecialityNurse Practitioner
Location214 Indian Head Rd, Commack, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295587798
  • Provider Enumeration Date: 04/05/2024
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870031008
  • Enrollment ID: I20241014000461

Medical Identifiers

Medical identifiers for Ivan Li such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295587798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 311752 (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. Ivan Li allows following entities to bill medicare on his behalf.
Entity NameSimon Li Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952887580
PECOS PAC ID: 5092067827
Enrollment ID: O20181005002233
Entity NameLi Family Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225867393
PECOS PAC ID: 4486195716
Enrollment ID: O20240926000761

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. Ivan Li 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 AddressPractice Location Address
Ivan Li, NP
214 Indian Head Rd,
Commack, NY 11725-1310

Ph: (917) 607-3818		Ivan Li, NP
214 Indian Head Rd,
Commack, NY 11725-1310

Ph: (917) 607-3818

Reviews and Comments


Nurse Practitioner Nurses in Commack, NY

Sandra M Roth, ANP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 52 Radburn Dr, Commack, NY 11725
Phone: 631-864-5175    
Cindy Demetriou,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725
Phone: 631-858-0400    
Kelly Eileen Mcgowan, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2171 Jericho Tpke, Commack, NY 11725
Phone: 631-858-2190    
Mrs. Keri Jean Wagner, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 650 Commack Rd, Commack, NY 11725
Phone: 631-623-4000    Fax: 631-864-2787
Mrs. Ann Marie Perrino, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 68 Hauppauge Rd, Commack, NY 11725
Phone: 631-715-2000    
Ms. Kathleen Bradley Kupferman, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 68 Hauppauge Rd, Commack, NY 11725
Phone: 631-715-2503    
Mrs. Lauren Dolce, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6080 Jericho Tpke, Suite 314, Commack, NY 11725
Phone: 631-462-2200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.