Bethany Divell, CRNP in Erie, PA - Medicare Nurse Practitioner

Bethany Divell, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Erie, Pennsylvania. Her current practice location is 311 W 24th St Ste 101, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 452-4214.

Bethany Divell is licensed to practice in Pennsylvania (license number SP027834) 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 1518647239.

Contact Information

	Bethany Divell, CRNP
	311 W 24th St Ste 101, Erie, PA 16502-2668
	(814) 452-4214
	Not Available

Map and Direction

Provider's Profile

Full Name	Bethany Divell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	311 W 24th St Ste 101, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518647239
Provider Enumeration Date: 07/18/2023
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0941656920
Enrollment ID: I20231026004308

Medical Identifiers

Medical identifiers for Bethany Divell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518647239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP027834 (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. Bethany Divell allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Medical Education And Research Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576

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. Bethany Divell 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
Bethany Divell, CRNP 4606 Wolf Rd, Erie, PA 16505-1451 Ph: (814) 746-6563	Bethany Divell, CRNP 311 W 24th St Ste 101, Erie, PA 16502-2668 Ph: (814) 452-4214

Reviews and Comments

Nurse Practitioner Nurses in Erie, PA

Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074
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Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809
Mr. Kenneth Charles Agnew Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5037 Crystal Dr, Erie, PA 16505 Phone: 814-218-1850

Bethany Divell, CRNP - Medicare Nurse Practitioner in Erie, PA