Timothy Fangfan Shi, APN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New Brunswick, NJ

Timothy Fangfan Shi, APN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New Brunswick, New Jersey. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Rutgers Health-rwj Pediatric Critical Care and his current practice location is 1 Robert Wood Johnson Pl, New Brunswick, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 235-7827.

Timothy Fangfan Shi is licensed to practice in New Jersey (license number 26NJ00869200) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801366596.

Contact Information

Timothy Fangfan Shi, APN, CRNA
1 Robert Wood Johnson Pl,
New Brunswick, NJ 08901-1928
(732) 235-7827
Not Available



Provider's Profile

Full NameTimothy Fangfan Shi
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location1 Robert Wood Johnson Pl, New Brunswick, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy Fangfan Shi graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1801366596
  • Provider Enumeration Date: 11/26/2018
  • Last Update Date: 11/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8527305002
  • Enrollment ID: I20190122001478

Medical Identifiers

Medical identifiers for Timothy Fangfan Shi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801366596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 26NJ00869200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Robert Wood Johnson University HospitalNew brunswick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rutgers Health-rwj Pediatric Critical Care1355390287143

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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. Timothy Fangfan Shi allows following entities to bill medicare on his behalf.
Entity NameNew Jersey Healthcare Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174585780
PECOS PAC ID: 2668385253
Enrollment ID: O20031110000555

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Entity NameRutgers Health-rwj Anesthesiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861414989
PECOS PAC ID: 2264346493
Enrollment ID: O20031113000072

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Entity NameRutgers Health-rwj Pediatric Critical Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780766527
PECOS PAC ID: 1355390287
Enrollment ID: O20050119000070

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Entity NameParkway Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518319755
PECOS PAC ID: 2567758931
Enrollment ID: O20160912000258

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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. Timothy Fangfan 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 AddressPractice Location Address
Timothy Fangfan Shi, APN, CRNA
125 Paterson Street, 3rd Floor, Suite 3100,
New Brunswick, NJ 08901

Ph: (732) 235-7827
Timothy Fangfan Shi, APN, CRNA
1 Robert Wood Johnson Pl,
New Brunswick, NJ 08901-1928

Ph: (732) 235-7827

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Nurse Anesthetist, Certified Registered Nurses in New Brunswick, NJ

Mrs. Hosana Razon Tordecilla, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901
Phone: 732-828-3000    
Mrs. Christa Joy Montero Villaluna, DNP, CRNA/APN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 125 Paterson St # 3100, New Brunswick, NJ 08901
Phone: 732-235-6155    
Zlata Polyaeva, CRNA, APRN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901
Phone: 732-828-3000    
Mariah Mcgrory,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901
Phone: 732-235-7827    
Susan Anderson, R.N.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 125 Paterson St, Cab 3100, New Brunswick, NJ 08901
Phone: 718-666-1342    
Temitope O Ajibade, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 194 Commercial Ave, Basement, New Brunswick, NJ 08901
Phone: 718-208-8355    
Claire Latourette, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 125 Paterson St # 3100, New Brunswick, NJ 08901
Phone: 732-937-8841    

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