Congcong Li, FNP in Brooklyn, NY - Medicare Nurse Practitioner

Congcong Li, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. Her current practice location is 837 59th St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 975-8415.

Congcong Li is licensed to practice in New York (license number F351007) 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 1760086441.

Contact Information

	Congcong Li, FNP
	837 59th St, Brooklyn, NY 11220-5576
	(718) 975-8415
	Not Available

Map and Direction

Provider's Profile

Full Name	Congcong Li
Gender	Female
Speciality	Nurse Practitioner - Family
Location	837 59th St, Brooklyn, 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: 1760086441
Provider Enumeration Date: 11/24/2020
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6608249958
Enrollment ID: I20230307001792

Medical Identifiers

Medical identifiers for Congcong Li such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760086441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	773278 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F351007 (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. Congcong Li allows following entities to bill medicare on her behalf.

Entity Name	Four Season Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447785316 PECOS PAC ID: 1850666819 Enrollment ID: O20171019001338

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. Congcong Li 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
Congcong Li, FNP 837 59th St, Brooklyn, NY 11220-5576 Ph: () -	Congcong Li, FNP 837 59th St, Brooklyn, NY 11220-5576 Ph: (718) 975-8415

Reviews and Comments

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Congcong Li, FNP - Medicare Nurse Practitioner in Brooklyn, NY