Brooke Callahan, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Brooke Callahan, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. Her current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-4000.

Brooke Callahan is licensed to practice in Pennsylvania (license number SP028211) 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 1013799576.

Contact Information

	Brooke Callahan, CRNP
	3400 Spruce St, Philadelphia, PA 19104-4238
	(215) 662-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Brooke Callahan
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3400 Spruce St, 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: 1013799576
Provider Enumeration Date: 10/19/2023
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7012365182
Enrollment ID: I20231129003669

Medical Identifiers

Medical identifiers for Brooke Callahan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013799576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN711204 (Pennsylvania)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	SP028211 (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. Brooke Callahan allows following entities to bill medicare on her behalf.

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. Brooke Callahan 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
Brooke Callahan, CRNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 662-4000	Brooke Callahan, CRNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 662-4000

Reviews and Comments

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Brooke Callahan, CRNP - Medicare Nurse Practitioner in Philadelphia, PA