Ling Fan, in Philadelphia, PA - Medicare Nurse Practitioner

Ling Fan, is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. Her current practice location is 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 955-8304.

Ling Fan is licensed to practice in Pennsylvania (license number SP011398) 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 1003191883.

Contact Information

	Ling Fan,
	111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107-4824
	(215) 955-8304
	Not Available

Map and Direction

Provider's Profile

Full Name	Ling Fan
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	111 S 11th St, 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: 1003191883
Provider Enumeration Date: 10/12/2011
Last Update Date: 03/07/2017

Medicare PECOS Information:

PECOS PAC ID: 0547429714
Enrollment ID: I20120307000282

Medical Identifiers

Medical identifiers for Ling Fan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003191883	NPI	-	NPPES
102867945	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP011398 (Pennsylvania)	Primary
363L00000X	Nurse Practitioner	26NJ00412700 (New Jersey)	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. Ling Fan allows following entities to bill medicare on her behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Mercy Management Of Southeastern Pennsylvania
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427573492 PECOS PAC ID: 1456265974 Enrollment ID: O20040309000333

Entity Name	Trinity Health Mid-atlantic Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613

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. Ling Fan 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
Ling Fan, 111 S 11th St, Suite 6270, Philadelphia, PA 19107-4824 Ph: (267) 254-1999	Ling Fan, 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107-4824 Ph: (215) 955-8304

Reviews and Comments

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Ling Fan, - Medicare Nurse Practitioner in Philadelphia, PA