Ednan Mansoor Haroon, PMHNP in New York, NY - Medicare Nurse Practitioner

Ednan Mansoor Haroon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. His current practice location is 190 Mercer St Fl 4, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 677-3400.

Ednan Mansoor Haroon is licensed to practice in New York (license number 404096) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629730494.

Contact Information

	Ednan Mansoor Haroon, PMHNP
	190 Mercer St Fl 4, New York, NY 10012-1502
	(212) 677-3400
	Not Available

Map and Direction

Provider's Profile

Full Name	Ednan Mansoor Haroon
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	190 Mercer St Fl 4, New York, 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: 1629730494
Provider Enumeration Date: 10/08/2021
Last Update Date: 04/15/2022

Medicare PECOS Information:

PECOS PAC ID: 6103209572
Enrollment ID: I20220817002259

Medical Identifiers

Medical identifiers for Ednan Mansoor Haroon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629730494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404096 (New York)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704326352 (Michigan)	Secondary

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. Ednan Mansoor Haroon allows following entities to bill medicare on his behalf.

Entity Name	Greenwich House Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730207119 PECOS PAC ID: 0345137170 Enrollment ID: O20040304000392

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. Ednan Mansoor Haroon 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
Ednan Mansoor Haroon, PMHNP 46456 Mornington Rd, Canton, MI 48188-3012 Ph: (734) 837-1982	Ednan Mansoor Haroon, PMHNP 190 Mercer St Fl 4, New York, NY 10012-1502 Ph: (212) 677-3400

Reviews and Comments

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Ednan Mansoor Haroon, PMHNP - Medicare Nurse Practitioner in New York, NY