Ivy Tan Meneses, is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Commack, New York. Her current practice location is
27 Cottonwood Dr, Commack, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 875-1851.
Ivy Tan Meneses is licensed to practice in New York (license number F431560-01) 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 1629626221.
Physician's Profile
Full Name | Ivy Tan Meneses |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 27 Cottonwood Dr, Commack, New York |
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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: 1629626221
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618308297
- Enrollment ID: I20200514002486
Medical Identifiers
Medical identifiers for Ivy Tan Meneses such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629626221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 431560 (New York) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | F431560-01 (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. Ivy Tan Meneses allows following entities to bill medicare on her behalf.
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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. Ivy Tan Meneses 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 |
Ivy Tan Meneses, 300 Community Dr, Manhasset, NY 11030-3816 Ph: (631) 875-1851 | Ivy Tan Meneses, 27 Cottonwood Dr, Commack, NY 11725-2420 Ph: (631) 875-1851 |
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