Stephanie Tan, in Sunnyside, NY - Medicare Nurse Practitioner

Stephanie Tan, is a medicare enrolled "Nurse Practitioner - Family" in Sunnyside, New York. Her current practice location is 4209 47th Ave Apt 5e, Sunnyside, New York. You can reach out to her office (for appointments etc.) via phone at (917) 476-4864.

Stephanie Tan is licensed to practice in New York (license number F339427-1) 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 1447633904.

Contact Information

	Stephanie Tan,
	4209 47th Ave Apt 5e, Sunnyside, NY 11104-3032
	(917) 476-4864
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Tan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4209 47th Ave Apt 5e, Sunnyside, 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: 1447633904
Provider Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015

Medicare PECOS Information:

PECOS PAC ID: 3577926898
Enrollment ID: I20230901002864

Medical Identifiers

Medical identifiers for Stephanie Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447633904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F339427-1 (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. Stephanie Tan allows following entities to bill medicare on her behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497029581 PECOS PAC ID: 2264691070 Enrollment ID: O20120731000708

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. Stephanie Tan 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
Stephanie Tan, 4209 47th Ave Apt 5e, Sunnyside, NY 11104-3032 Ph: (917) 476-4864	Stephanie Tan, 4209 47th Ave Apt 5e, Sunnyside, NY 11104-3032 Ph: (917) 476-4864

Reviews and Comments

Nurse Practitioner Nurses in Sunnyside, NY

Taehyun Park, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4115 45th St Apt 3j, Sunnyside, NY 11104 Phone: 917-714-8916
Mariola Dorota Karasiewicz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4739 40th St Apt 5h, Sunnyside, NY 11104 Phone: 646-275-2954
Mrs. Caitlin L. Hidasi, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3978 45th St, Sunnyside, NY 11104 Phone: 718-651-4974
Merissa Ann Kochanski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4739 40th St Apt 6g, Sunnyside, NY 11104 Phone: 917-417-9045
Ms. Maureen Eisenberg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 Phone: 718-707-3434 Fax: 718-707-3435
Ms. Deborah Jerome, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4701 Queens Blvd, Sunnyside, NY 11104 Phone: 929-483-2030

Stephanie Tan, - Medicare Nurse Practitioner in Sunnyside, NY