Mini Sajan, in Philadelphia, PA - Medicare Nurse Practitioner

Mini Sajan, is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 2124 W Diamond St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 671-7114.

Mini Sajan is licensed to practice in Pennsylvania (license number SP025557) 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 1356069314.

Contact Information

	Mini Sajan,
	2124 W Diamond St, Philadelphia, PA 19121-1431
	(267) 671-7114
	Not Available

Map and Direction

Provider's Profile

Full Name	Mini Sajan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2124 W Diamond 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: 1356069314
Provider Enumeration Date: 08/16/2022
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 8921475104
Enrollment ID: I20221031003028

Medical Identifiers

Medical identifiers for Mini Sajan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356069314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP025557 (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. Mini Sajan allows following entities to bill medicare on her behalf.

Entity Name	Excel Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942521810 PECOS PAC ID: 7315132537 Enrollment ID: O20101115000040

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Mini Sajan 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
Mini Sajan, 9532 Evans St, Philadelphia, PA 19115-3915 Ph: (267) 671-7114	Mini Sajan, 2124 W Diamond St, Philadelphia, PA 19121-1431 Ph: (267) 671-7114

Reviews and Comments

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Mini Sajan, - Medicare Nurse Practitioner in Philadelphia, PA