Heather David, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Philadelphia, Pennsylvania. Her current practice location is
333 Cottman Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 728-6900.
Heather David is licensed to practice in Pennsylvania (license number SP018161) 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 1497269377.
Physician's Profile
| Full Name | Heather David |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
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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: 1497269377
- Provider Enumeration Date: 11/29/2017
- Last Update Date: 06/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830452606
- Enrollment ID: I20180409000310
Medical Identifiers
Medical identifiers for Heather David such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497269377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | SP018161 (Pennsylvania) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | SP018161 (Pennsylvania) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | SP018161 (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. Heather David allows following entities to bill medicare on her behalf.
| Entity Name | Jefferson University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326093675
PECOS PAC ID: 7911819180
Enrollment ID: O20040225000232 |
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| Entity Name | Fox Chase Cancer Center Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396019444
PECOS PAC ID: 8123289550
Enrollment ID: O20120412000054 |
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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. Heather David 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 |
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Heather David, NURSE PRACTITIONER
900 Church Rd,
Wyncote, PA 19095-1601
Ph: (215) 459-4960 | Heather David, NURSE PRACTITIONER
333 Cottman Ave,
Philadelphia, PA 19111-2434
Ph: (215) 728-6900 |
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