Shelby Tharakan, in South Richmond Hill, NY - Medicare Nurse Practitioner

Shelby Tharakan, is a medicare enrolled "Nurse Practitioner - Family" in South Richmond Hill, New York. Her current practice location is 11912 94th Ave Fl 1, South Richmond Hill, New York. You can reach out to her office (for appointments etc.) via phone at (718) 297-0440.

Shelby Tharakan is licensed to practice in New York (license number F344111-1) 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 1194381020.

Contact Information

	Shelby Tharakan,
	11912 94th Ave Fl 1, South Richmond Hill, NY 11419-1332
	(718) 297-0440
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby Tharakan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11912 94th Ave Fl 1, South Richmond Hill, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194381020
Provider Enumeration Date: 05/16/2019
Last Update Date: 02/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6002231883
Enrollment ID: I20200811001209

Medical Identifiers

Medical identifiers for Shelby Tharakan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194381020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	344111 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F344111-1 (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. Shelby Tharakan allows following entities to bill medicare on her behalf.

Entity Name	New York Community Hospital Of Brooklyn Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1508377334 PECOS PAC ID: 6901798016 Enrollment ID: O20180417000319

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. Shelby Tharakan 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
Shelby Tharakan, 127 The Dell, Albertson, NY 11507-1014 Ph: (516) 270-2721	Shelby Tharakan, 11912 94th Ave Fl 1, South Richmond Hill, NY 11419-1332 Ph: (718) 297-0440

Reviews and Comments

Nurse Practitioner Nurses in South Richmond Hill, NY

Avisha Lauren Labban, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10712 123rd St, South Richmond Hill, NY 11419 Phone: 718-413-0488
Rohan Sumrah, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9721 109th St, South Richmond Hill, NY 11419 Phone: 347-549-5569
Debbie Harripersad, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12017 95th Ave, South Richmond Hill, NY 11419 Phone: 917-283-8210
Nicole Dicarlo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12507 101st Ave, South Richmond Hill, NY 11419 Phone: 718-450-9383
Carena Laurel Walcott, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11220 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-554-6600
Manjit Singh Saini, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11220 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-877-4942

Shelby Tharakan, - Medicare Nurse Practitioner in South Richmond Hill, NY