Debra Gillman, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Debra Gillman, CRNP is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-5864.

Debra Gillman is licensed to practice in Pennsylvania (license number SP014242) 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 1942686480.

Contact Information

	Debra Gillman, CRNP
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-5864
	(215) 707-6867

Map and Direction

Provider's Profile

Full Name	Debra Gillman
Gender	Female
Speciality	Nurse Practitioner
Location	3401 N Broad 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: 1942686480
Provider Enumeration Date: 08/06/2015
Last Update Date: 11/29/2016

Medicare PECOS Information:

PECOS PAC ID: 8820307796
Enrollment ID: I20151015000111

Medical Identifiers

Medical identifiers for Debra Gillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942686480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP014242 (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. Debra Gillman allows following entities to bill medicare on her behalf.

Entity Name	Temple Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Debra Gillman 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
Debra Gillman, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-5864	Debra Gillman, CRNP 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-5864

Reviews and Comments

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Debra Gillman, CRNP - Medicare Nurse Practitioner in Philadelphia, PA