Paul Renn Iv, in Philadelphia, PA - Medicare Counselor Provider

Paul Renn Iv, is a medicare enrolled "Counselor - Professional" provider in Philadelphia, Pennsylvania. His current practice location is 2310 Christopher Columbus Blvd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 867-7098.

Paul Renn Iv is licensed to practice in Pennsylvania (license number CW019392) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720490030.

Contact Information

	Paul Renn Iv,
	2310 Christopher Columbus Blvd, Philadelphia, PA 19148-4206
	(215) 867-7098
	(267) 288-0389

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Renn Iv
Gender	Male
Speciality	Counselor - Professional
Location	2310 Christopher Columbus Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720490030
Provider Enumeration Date: 05/21/2014
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0446537906
Enrollment ID: I20170510001558

Medical Identifiers

Medical identifiers for Paul Renn Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720490030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CW019392 (Pennsylvania)	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. Paul Renn Iv allows following entities to bill medicare on his behalf.

Entity Name	Osh - Pa Physicians Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414

Entity Name	Chespenn Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750329603 PECOS PAC ID: 5991695389 Enrollment ID: O20200326000803

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. Paul Renn Iv 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
Paul Renn Iv, 5201 Haverford Ave, Philadelphia, PA 19139-1401 Ph: (215) 471-2761	Paul Renn Iv, 2310 Christopher Columbus Blvd, Philadelphia, PA 19148-4206 Ph: (215) 867-7098

Reviews and Comments

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Paul Renn Iv, - Medicare Counselor in Philadelphia, PA