Shani Lee Anderson, NP, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Worcester, Massachusetts. Her current practice location is
1280 Main St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 754-1141.
Shani Lee Anderson is licensed to practice in Massachusetts (license number RN2270119) 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 1811474596.
Healthcare Provider's Profile
Full Name | Shani Lee Anderson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1280 Main St, Worcester, Massachusetts |
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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: 1811474596
- Provider Enumeration Date: 07/25/2018
- Last Update Date: 09/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901263193
- Enrollment ID: I20231016001968
Medical Identifiers
Medical identifiers for Shani Lee Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811474596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2270119 (Massachusetts) | Primary |
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. Shani Lee Anderson 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 |
Shani Lee Anderson, NP, RN 1280 Main St, Worcester, MA 01603-1801 Ph: (508) 754-1141 | Shani Lee Anderson, NP, RN 1280 Main St, Worcester, MA 01603-1801 Ph: (508) 754-1141 |
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