Shannon Khulusi, NP in Eatontown, NJ - Medicare Nurse Practitioner

Shannon Khulusi, NP is a medicare enrolled "Nurse Practitioner" in Eatontown, New Jersey. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Allied Digestive Health Llc, Hackensack Meridian Health Medical Group - Specialty Care Pc and her current practice location is 142 State Route 35 S, Eatontown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 389-5004.

Shannon Khulusi is licensed to practice in New Jersey (license number 26NJ00061500) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932240603.

Contact Information

	Shannon Khulusi, NP
	142 State Route 35 S, Eatontown, NJ 07724-1876
	(732) 389-5004
	(732) 389-1850

Map and Direction

Provider's Profile

Full Name	Shannon Khulusi
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	142 State Route 35 S, Eatontown, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Khulusi graduated from nursing school in 2003

NPI Data:

NPI Number: 1932240603
Provider Enumeration Date: 02/08/2007
Last Update Date: 12/02/2009

Medicare PECOS Information:

PECOS PAC ID: 6507803095
Enrollment ID: I20050415000539

Medical Identifiers

Medical identifiers for Shannon Khulusi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932240603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NJ00061500 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monmouth Medical Center	Long branch, NJ	Hospital
Jersey Shore University Medical Center	Neptune, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allied Digestive Health Llc	5991027583	218
Hackensack Meridian Health Medical Group - Specialty Care Pc	9133032519	1166

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. Shannon Khulusi allows following entities to bill medicare on her behalf.

Entity Name	Hackensack Meridian Health Medical Group - Specialty Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524

Entity Name	Allied Digestive Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265831259 PECOS PAC ID: 5991027583 Enrollment ID: O20141210001569

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. Shannon Khulusi 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
Shannon Khulusi, NP 142 State Route 35 S, Eatontown, NJ 07724-1876 Ph: (732) 389-5004	Shannon Khulusi, NP 142 State Route 35 S, Eatontown, NJ 07724-1876 Ph: (732) 389-5004

Reviews and Comments

Nurse Practitioner Nurses in Eatontown, NJ

Victoria Pierce Camporini, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Industrial Way W Ste 101, Eatontown, NJ 07724 Phone: 732-945-6555
Nimmy Treeza, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Meridian Rd, Eatontown, NJ 07724 Phone: 732-935-1000
Joan Wamahiu, APN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd Ste 3b, Eatontown, NJ 07724 Phone: 732-724-1234
Uzoamaka Ogbonne Orji, PSYCHIATRIC APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd, Building 5b; 2nd Floor, Eatontown, NJ 07724 Phone: 732-389-0697
Elizabeth A. Birnie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 Hope Rd, Building 5, Eatontown, NJ 07724 Phone: 732-571-1000 Fax: 732-571-1156
Christine Kaminski, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 64 Holly Dr, Eatontown, NJ 07724 Phone: 732-859-0754
Kimberly Tallia, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Route 35, Suite 103, Eatontown, NJ 07724 Phone: 732-389-5004 Fax: 732-389-1850

Shannon Khulusi, NP - Medicare Nurse Practitioner in Eatontown, NJ