Christina Chan, NURSE PRACTITIONER in Northport, NY

Christina Chan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in Northport, New York. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 79 Middleville Rd, Northport, New York. You can reach out to her office (for appointments etc.) via phone at (631) 882-3487.

Christina Chan is licensed to practice in New York (license number 30 306171) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720321722.

Contact Information

	Christina Chan, NURSE PRACTITIONER
	79 Middleville Rd, Northport, NY 11768-2200
	(631) 882-3487
	Not Available

Map and Direction

Provider's Profile

Full Name	Christina Chan
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	79 Middleville Rd, Northport, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Christina Chan graduated from nursing school in 2012

NPI Data:

NPI Number: 1720321722
Provider Enumeration Date: 03/28/2013
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8921326323
Enrollment ID: I20150922002129

Medical Identifiers

Medical identifiers for Christina Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720321722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	30 306171 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

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. Christina Chan allows following entities to bill medicare on her behalf.

Entity Name	Nova Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982984019 PECOS PAC ID: 5890968986 Enrollment ID: O20111107000243

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Christina Chan 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
Christina Chan, NURSE PRACTITIONER 410 Lakeville Rd Ste 105, New Hyde Park, NY 11042-1102 Ph: (516) 465-5400	Christina Chan, NURSE PRACTITIONER 79 Middleville Rd, Northport, NY 11768-2200 Ph: (631) 882-3487

Reviews and Comments

Nurse Practitioner Nurses in Northport, NY

Jennifer Anne Zethner, RN,MS,PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Fort Salonga Rd, Suite 101, Northport, NY 11768 Phone: 631-262-8505 Fax: 631-754-2909
Richard Thomesen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400
Katherine Reinertsen-rubin, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Oleander Dr, Northport, NY 11768 Phone: 631-235-3575
Mrs. Vanessa Lee Spivey-burke, MS, APRN,BC - GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-254-5132
Diane Kathleen Pastor, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Lord Joes Lndg, Northport, NY 11768 Phone: 631-754-6819
Mr. Michael B Sklar, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Primary Care, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-266-6051
Magdalena Del Pilar Pupiales, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport Va Nursing Service - Building 6, Northport, NY 11768 Phone: 631-261-4400

Christina Chan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Northport, NY