Shahbanoo Ghaffari Zandi, NP in Champlain, NY

Shahbanoo Ghaffari Zandi, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Champlain, New York. Her current practice location is 481 Route 11, Champlain, New York. You can reach out to her office (for appointments etc.) via phone at (518) 298-2691.

Shahbanoo Ghaffari Zandi is licensed to practice in New York (license number 305524) 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 1962706804.

Contact Information

	Shahbanoo Ghaffari Zandi, NP
	481 Route 11, Champlain, NY 12919-0000
	(518) 298-2691
	(518) 298-8241

Map and Direction

Provider's Profile

Full Name	Shahbanoo Ghaffari Zandi
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	481 Route 11, Champlain, 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: 1962706804
Provider Enumeration Date: 01/07/2011
Last Update Date: 12/13/2016

Medicare PECOS Information:

PECOS PAC ID: 0446435986
Enrollment ID: I20110427000845

Medical Identifiers

Medical identifiers for Shahbanoo Ghaffari Zandi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962706804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	305524 (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. Shahbanoo Ghaffari Zandi allows following entities to bill medicare on her behalf.

Entity Name	In Health Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841565686 PECOS PAC ID: 8022269646 Enrollment ID: O20121108000009

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. Shahbanoo Ghaffari Zandi 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
Shahbanoo Ghaffari Zandi, NP 74 Margaret St, Plattsburgh, NY 12901-2925 Ph: (518) 562-2369	Shahbanoo Ghaffari Zandi, NP 481 Route 11, Champlain, NY 12919-0000 Ph: (518) 298-2691

Reviews and Comments

Nurse Practitioner Nurses in Champlain, NY

Emmalee Colby, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Marilyn P Mcclure, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Sarah L Howell, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 481 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Nicole A Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Lori A Robinson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691
Pawel Patryk Klimkiewicz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241

Shahbanoo Ghaffari Zandi, NP - Medicare Nurse Practitioner in Champlain, NY