Shan Ni, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Shan Ni, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3008.

Shan Ni is licensed to practice in Pennsylvania (license number SP017236) 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 1013444769.

Contact Information

	Shan Ni, CRNP
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-3008
	(215) 707-1387

Map and Direction

Provider's Profile

Full Name	Shan Ni
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3401 N Broad 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: 1013444769
Provider Enumeration Date: 05/12/2017
Last Update Date: 01/17/2019

Medicare PECOS Information:

PECOS PAC ID: 5092055871
Enrollment ID: I20190313002247

Medical Identifiers

Medical identifiers for Shan Ni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013444769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP017236 (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. Shan Ni allows following entities to bill medicare on her behalf.

Entity Name	Lch Health And Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063901205 PECOS PAC ID: 2466406574 Enrollment ID: O20050310000620

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. Shan Ni 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
Shan Ni, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-3008	Shan Ni, CRNP 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-3008

Reviews and Comments

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Shan Ni, CRNP - Medicare Nurse Practitioner in Philadelphia, PA