Yalixsa Then, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Shenandoah, Pennsylvania. Her current practice location is
624 W Centre St, Shenandoah, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 671-0300.
Yalixsa Then is licensed to practice in Pennsylvania (license number SP032479) 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 1689247207.
Provider's Profile
| Full Name | Yalixsa Then |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 624 W Centre St, Shenandoah, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689247207
- Provider Enumeration Date: 07/21/2021
- Last Update Date: 08/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678965761
- Enrollment ID: I20220124000205
Medical Identifiers
Medical identifiers for Yalixsa Then such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689247207 | NPI | - | NPPES |
| F347683 | Other | NY | LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | F347683 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP032479 (Pennsylvania) | 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. Yalixsa Then allows following entities to bill medicare on her behalf.
| Entity Name | Queens Medical Office, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922017789 PECOS PAC ID: 8224033535 Enrollment ID: O20060920000215 |
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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. Yalixsa Then 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 |
Yalixsa Then, FNP-BC 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (570) 671-0300 | Yalixsa Then, FNP-BC 624 W Centre St, Shenandoah, PA 17976-1403 Ph: (570) 671-0300 |
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