Lana Shomali, AGACNP in Philadelphia, PA - Medicare Nurse Practitioner

Lana Shomali, AGACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Philadelphia, Pennsylvania. Her current practice location is 1 Convention Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-4000.

Lana Shomali is licensed to practice in Pennsylvania (license number SP027044) 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 1124726385.

Contact Information

	Lana Shomali, AGACNP
	1 Convention Ave, Philadelphia, PA 19104-4311
	(215) 662-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Lana Shomali
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	1 Convention Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124726385
Provider Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1658745724
Enrollment ID: I20230314000421

Medical Identifiers

Medical identifiers for Lana Shomali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124726385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	SP027044 (Pennsylvania)	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. Lana Shomali allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003923707 PECOS PAC ID: 6204730955 Enrollment ID: O20141216000111

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. Lana Shomali 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
Lana Shomali, AGACNP 7431 Walnut Ave, Pennsauken, NJ 08109-3076 Ph: (410) 842-3871	Lana Shomali, AGACNP 1 Convention Ave, Philadelphia, PA 19104-4311 Ph: (215) 662-4000

Reviews and Comments

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Lana Shomali, AGACNP - Medicare Nurse Practitioner in Philadelphia, PA