Soo Yeon Shin, in Cortland, NY - Medicare Nurse Practitioner

Soo Yeon Shin, is a medicare enrolled "Nurse Practitioner - Family" in Cortland, New York. Her current practice location is 134 Homer Ave, Cortland, New York. You can reach out to her office (for appointments etc.) via phone at (607) 756-3500.

Soo Yeon Shin is licensed to practice in New York (license number 346297) 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 1205445640.

Contact Information

	Soo Yeon Shin,
	134 Homer Ave, Cortland, NY 13045-1206
	(607) 756-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Soo Yeon Shin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	134 Homer Ave, Cortland, 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: 1205445640
Provider Enumeration Date: 07/30/2020
Last Update Date: 03/05/2021

Medicare PECOS Information:

PECOS PAC ID: 8628497997
Enrollment ID: I20201006002132

Medical Identifiers

Medical identifiers for Soo Yeon Shin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205445640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	346297 (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. Soo Yeon Shin allows following entities to bill medicare on her behalf.

Entity Name	Guthrie Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220

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. Soo Yeon Shin 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
Soo Yeon Shin, 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858	Soo Yeon Shin, 134 Homer Ave, Cortland, NY 13045-1206 Ph: (607) 756-3500

Reviews and Comments

Nurse Practitioner Nurses in Cortland, NY

Karen Wickert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4077 West Rd, Cortland, NY 13045 Phone: 607-753-9977 Fax: 607-753-7311
Caitlin M Atwater, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4038 West Rd, Cortland, NY 13045 Phone: 607-758-3008 Fax: 607-758-3019
Melanie Novick, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-753-0286
Caroline Fasanelli, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-756-3500
Amanda Dawn Holley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Avenue, Cortland, NY 13045 Phone: 607-756-3500
Mrs. Jenniferleigh Vonderhorst Clune, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 West Road, Cortland, NY 13045 Phone: 607-753-9977 Fax: 607-218-6276

Soo Yeon Shin, - Medicare Nurse Practitioner in Cortland, NY