Xiaoyu Shi, NP in Flushing, NY - Medicare Nurse Practitioner

Xiaoyu Shi, NP is a medicare enrolled "Nurse Practitioner - Family" in Flushing, New York. Her current practice location is 4266 Kissena Blvd, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 888-7907.

Xiaoyu Shi is licensed to practice in New York (license number 347897) 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 1992374771.

Contact Information

	Xiaoyu Shi, NP
	4266 Kissena Blvd, Flushing, NY 11355-3213
	(718) 888-7907
	Not Available

Map and Direction

Provider's Profile

Full Name	Xiaoyu Shi
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4266 Kissena Blvd, Flushing, 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: 1992374771
Provider Enumeration Date: 06/24/2021
Last Update Date: 07/09/2021

Medicare PECOS Information:

PECOS PAC ID: 7315331519
Enrollment ID: I20220304000996

Medical Identifiers

Medical identifiers for Xiaoyu Shi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992374771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	755941 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	347897 (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. Xiaoyu Shi allows following entities to bill medicare on her behalf.

Entity Name	Chinatown True Care Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912567884 PECOS PAC ID: 2163859760 Enrollment ID: O20200220000904

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. Xiaoyu Shi 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
Xiaoyu Shi, NP 4266 Kissena Blvd, Flushing, NY 11355-3213 Ph: (718) 888-7907	Xiaoyu Shi, NP 4266 Kissena Blvd, Flushing, NY 11355-3213 Ph: (718) 888-7907

Reviews and Comments

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Xiaoyu Shi, NP - Medicare Nurse Practitioner in Flushing, NY