Andrea Bannon, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Andrea Bannon, CRNP is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. Her current practice location is 3400 Spruce Street, 4 Silverstein, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 615-5858.

Andrea Bannon is licensed to practice in Pennsylvania (license number SP022772) 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 1750953287.

Contact Information

	Andrea Bannon, CRNP
	3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-2406
	(215) 615-5858
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrea Bannon
Gender	Female
Speciality	Nurse Practitioner
Location	3400 Spruce Street, 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: 1750953287
Provider Enumeration Date: 07/14/2021
Last Update Date: 10/25/2021

Medicare PECOS Information:

PECOS PAC ID: 8325436967
Enrollment ID: I20211101000788

Medical Identifiers

Medical identifiers for Andrea Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750953287	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP022772 (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. Andrea Bannon allows following entities to bill medicare on her behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Lancaster General Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Andrea Bannon 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
Andrea Bannon, CRNP 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-2406 Ph: (215) 615-5858	Andrea Bannon, CRNP 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-2406 Ph: (215) 615-5858

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Andrea Bannon, CRNP - Medicare Nurse Practitioner in Philadelphia, PA