Shirnett Khorran-gajaraj, in Brockton, MA - Medicare Nurse Practitioner

Shirnett Khorran-gajaraj, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brockton, Massachusetts. Her current practice location is 529 Pearl St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 580-2211.

Shirnett Khorran-gajaraj is licensed to practice in Massachusetts (license number RN2349747) 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 1538919147.

Contact Information

	Shirnett Khorran-gajaraj,
	529 Pearl St, Brockton, MA 02301-2825
	(508) 580-2211
	Not Available

Map and Direction

Provider's Profile

Full Name	Shirnett Khorran-gajaraj
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	529 Pearl St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538919147
Provider Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4981044211
Enrollment ID: I20240502003073

Medical Identifiers

Medical identifiers for Shirnett Khorran-gajaraj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538919147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2349747 (Massachusetts)	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. Shirnett Khorran-gajaraj allows following entities to bill medicare on her behalf.

Entity Name	Starr Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871687129 PECOS PAC ID: 4385742626 Enrollment ID: O20070609000089

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. Shirnett Khorran-gajaraj 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
Shirnett Khorran-gajaraj, 529 Pearl St, Brockton, MA 02301-2825 Ph: () -	Shirnett Khorran-gajaraj, 529 Pearl St, Brockton, MA 02301-2825 Ph: (508) 580-2211

Reviews and Comments

Nurse Practitioner Nurses in Brockton, MA

Christine Nichole Lattuada, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578
Rebecca Match, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Meadowbrook Rd, Brockton, MA 02301 Phone: 508-638-6006
Jessica Santiccioli, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 529 Pearl St, Brockton, MA 02301 Phone: 617-922-4626
Mrs. Henrietta Amaka Ewuzie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Heritage Ct, Brockton, MA 02302 Phone: 857-233-1890
Mrs. Rena B Levy, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0412
Lauren Kaplan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1324 Belmont St Ste 105, Brockton, MA 02301 Phone: 617-571-6732

Shirnett Khorran-gajaraj, - Medicare Nurse Practitioner in Brockton, MA