Ms Shyan Indera Jagdeo, NP - Medicare Nurse Practitioner in Far Rockaway, NY

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Ms Shyan Indera Jagdeo, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Far Rockaway, New York. She graduated from nursing 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 Suffolk Primary Health Llc, Peyman Younesi Md Pllc, My Medical Pc, Medical Services Of Northeastern Queens Pllc and her current practice location is 3224 Anchor Dr, Far Rockaway, New York. You can reach out to her office (for appointments etc.) via phone at (718) 450-6604.

Ms Shyan Indera Jagdeo is licensed to practice in New York (license number 309775) 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 1205459534.

Contact Information

Ms Shyan Indera Jagdeo, NP
3224 Anchor Dr,
Far Rockaway, NY 11691-1602
(718) 450-6604
(516) 531-8944

Map and Direction




Provider's Profile

Full NameMs Shyan Indera Jagdeo
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location3224 Anchor Dr, Far Rockaway, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Shyan Indera Jagdeo graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1205459534
  • Provider Enumeration Date: 05/21/2020
  • Last Update Date: 05/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7810308111
  • Enrollment ID: I20201117002010

Medical Identifiers

Medical identifiers for Ms Shyan Indera Jagdeo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205459534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 309775 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centers Home Health Revival (bronx)Bronx, NYHome health agency
Revival Home Health CareStaten island, NYHome health agency
Americare Certified Special Services, Inc ChhaBrooklyn, NYHome health agency
Extended Home CareBrooklyn, NYHome health agency
WellboundBrooklyn, NYHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Suffolk Primary Health Llc943642051046
Peyman Younesi Md Pllc498186020298
My Medical Pc014361060093
Medical Services Of Northeastern Queens Pllc458701344632

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. Ms Shyan Indera Jagdeo allows following entities to bill medicare on her behalf.
Entity NamePeyman Younesi MD PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891053328
PECOS PAC ID: 4981860202
Enrollment ID: O20120731000499
Entity NamePark Avenue Pediatrics PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699969543
PECOS PAC ID: 6507010592
Enrollment ID: O20130128000388
Entity NameSuffolk Primary Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174965727
PECOS PAC ID: 9436420510
Enrollment ID: O20170808002088
Entity NameVisiting Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083241392
PECOS PAC ID: 2961824842
Enrollment ID: O20200623001067
Entity NameVantage Medical Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538642996
PECOS PAC ID: 0547673816
Enrollment ID: O20210105001373
Entity NameMy Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518637891
PECOS PAC ID: 0143610600
Enrollment ID: O20211124001353
Entity NameFresh Meadows Physician Practice PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720775083
PECOS PAC ID: 0941657811
Enrollment ID: O20231114003265
Entity NameMedical Services of Northeastern Queens PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184311441
PECOS PAC ID: 4587013446
Enrollment ID: O20231218002332

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. Ms Shyan Indera Jagdeo 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
Ms Shyan Indera Jagdeo, NP
3224 Anchor Dr,
Far Rockaway, NY 11691-1602

Ph: (718) 450-6604		Ms Shyan Indera Jagdeo, NP
3224 Anchor Dr,
Far Rockaway, NY 11691-1602

Ph: (718) 450-6604

Reviews and Comments


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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.