Mrs Courtney Ann Provine, CRNP in Philadelphia, PA

Mrs Courtney Ann Provine, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. Her current practice location is 3400 Civic Center Blvd, 2 South, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 615-0718.

Mrs Courtney Ann Provine is licensed to practice in Pennsylvania (license number SP021617) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497153472.

Contact Information

	Mrs Courtney Ann Provine, CRNP
	3400 Civic Center Blvd, 2 South, Philadelphia, PA 19104
	(215) 615-0718
	(215) 349-8309

Map and Direction

Provider's Profile

Full Name	Mrs Courtney Ann Provine
Gender	Female
Speciality
Experience	Years
Location	3400 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Courtney Ann Provine attended and graduated from in

NPI Data:

NPI Number: 1497153472
Provider Enumeration Date: 12/08/2014
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Courtney Ann Provine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497153472	NPI	-	NPPES
4324295	Other	PA	CIGNA PA
3120472	Other	PA	HIGHMARK BLUE SHIELD
1029886820001	Medicaid	PA
5764869	Other	PA	AETNA
P01435312	Other	PA	RAILROAD MEDICARE
30218673	Other	PA	KEYSTONE FIRST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP014616 (Pennsylvania)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	SP021617 (Pennsylvania)	Primary

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. Mrs Courtney Ann Provine 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
Mrs Courtney Ann Provine, CRNP 5709 Shetland Ct, Bensalem, PA 19020 Ph: (267) 760-1174	Mrs Courtney Ann Provine, CRNP 3400 Civic Center Blvd, 2 South, Philadelphia, PA 19104 Ph: (215) 615-0718

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

Mrs Courtney Ann Provine, CRNP - Medicare in Philadelphia, PA