Dr Michelle Yangyang Shi, MD, DPT is a medicare enrolled "Internal Medicine" provider in Manhasset, New York. Her current practice location is
300 Community Dr, Manhasset, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 562-0100.
Dr Michelle Yangyang Shi is licensed to practice in New York (license number 317304) 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 1770829897.
Healthcare Provider's Profile
| Full Name | Dr Michelle Yangyang Shi |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 300 Community Dr, Manhasset, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770829897
- Provider Enumeration Date: 12/17/2012
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527283894
- Enrollment ID: I20140627002140
Medical Identifiers
Medical identifiers for Dr Michelle Yangyang Shi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770829897 | NPI | - | NPPES |
| 5436026 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 035761 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 317304 (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. Dr Michelle Yangyang Shi allows following entities to bill medicare on her behalf.
| Provider Name | New Dimensions Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699807131
PECOS PAC ID: 8022113364
Enrollment ID: O20070416000540 |
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| Provider Name | North Shore - Lij Medical Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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| Provider Name | Excel In Motion Physical Therapy Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1104330182
PECOS PAC ID: 2961764014
Enrollment ID: O20180329001669 |
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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. Dr Michelle Yangyang 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 |
|---|
Dr Michelle Yangyang Shi, MD, DPT
300 Community Dr,
Manhasset, NY 11030-3816
Ph: () - | Dr Michelle Yangyang Shi, MD, DPT
300 Community Dr,
Manhasset, NY 11030-3816
Ph: (516) 562-0100 |
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