Caitlin Mary Bukowski, WHNP in Philadelphia, PA

Caitlin Mary Bukowski, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" 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) 829-2345.

Caitlin Mary Bukowski is licensed to practice in Pennsylvania (license number SP020429) 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 1699250191.

Contact Information

	Caitlin Mary Bukowski, WHNP
	3400 Spruce St, Philadelphia, PA 19104-4238
	(215) 829-2345
	(215) 829-3365

Map and Direction

Provider's Profile

Full Name	Caitlin Mary Bukowski
Gender	Female
Speciality	Nurse Practitioner - Women's Health
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: 1699250191
Provider Enumeration Date: 10/01/2018
Last Update Date: 07/13/2020

Medicare PECOS Information:

PECOS PAC ID: 9436496593
Enrollment ID: I20190128001271

Medical Identifiers

Medical identifiers for Caitlin Mary Bukowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699250191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	26NJ00861400 (New Jersey)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	SP020429 (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. Caitlin Mary Bukowski allows following entities to bill medicare on her behalf.

Entity Name	Princeton Medical Group,p.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063513679 PECOS PAC ID: 6406835305 Enrollment ID: O20040715000131

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. Caitlin Mary Bukowski 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
Caitlin Mary Bukowski, WHNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 829-2345	Caitlin Mary Bukowski, WHNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 829-2345

Reviews and Comments

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Caitlin Mary Bukowski, WHNP - Medicare Nurse Practitioner in Philadelphia, PA