Qian Kun Tan, FNP-BC - Medicare Nurse Practitioner in Great Neck, NY

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Qian Kun Tan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Great Neck, New York. Her current practice location is 865 Northern Blvd, Suite 203, Great Neck, New York. You can reach out to her office (for appointments etc.) via phone at (516) 708-2540.

Qian Kun Tan is licensed to practice in New York (license number 347776) 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 1487322483.

Contact Information

Qian Kun Tan, FNP-BC
865 Northern Blvd, Suite 203,
Great Neck, NY 11021
(516) 708-2540
Not Available

Map and Direction




Provider's Profile

Full NameQian Kun Tan
GenderFemale
SpecialityNurse Practitioner - Family
Location865 Northern Blvd, Great Neck, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487322483
  • Provider Enumeration Date: 09/03/2021
  • Last Update Date: 09/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911375845
  • Enrollment ID: I20221123002431

Medical Identifiers

Medical identifiers for Qian Kun Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487322483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 347776 (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. Qian Kun Tan allows following entities to bill medicare on her behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Qian Kun Tan 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 AddressPractice Location Address
Qian Kun Tan, FNP-BC
865 Northern Blvd, Suite 203,
Great Neck, NY 11021

Ph: (516) 708-2540		Qian Kun Tan, FNP-BC
865 Northern Blvd, Suite 203,
Great Neck, NY 11021

Ph: (516) 708-2540

Reviews and Comments


Nurse Practitioner Nurses in Great Neck, NY

Cindy Queliza,
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Medicare: Accepting Medicare Assignments
Practice Location: 805 Northern Blvd, Great Neck, NY 11021
Phone: 516-614-1160    
Tiffany Elizabeth Aromolo, MS, APRN, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 225 Community Dr Rm 110, Great Neck, NY 11021
Phone: 516-918-4800    
Sarah Haseney, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 865 Northern Blvd, Great Neck, NY 11021
Phone: 516-622-5155    
Blayne Manning,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 225 Community Dr, #110, Great Neck, NY 11021
Phone: 516-918-4388    
Yuna Zyskind, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 51 Great Neck Rd, Great Neck, NY 11021
Phone: 516-829-4100    
Grace Couch, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 865 Northern Blvd, Great Neck, NY 11021
Phone: 516-622-5114    
Elissa Michelle Martin, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 E Shore Rd Ste 104, Great Neck, NY 11023
Phone: 516-829-9550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.