Diane Wolstenholme, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Diane Wolstenholme, CRNP is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Temple Faculty Practice Plan Inc, On Demand Urgent Care Group Pc and 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) 707-5030.

Diane Wolstenholme is licensed to practice in Pennsylvania (license number SP021119) 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 1417592908.

Contact Information

	Diane Wolstenholme, CRNP
	3401 N Broad St, Philadelphia, PA 19140-5189
	(215) 707-5030
	(215) 707-3494

Map and Direction

Provider's Profile

Full Name	Diane Wolstenholme
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3401 N Broad St, 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:

Diane Wolstenholme graduated from nursing school in 2019

NPI Data:

NPI Number: 1417592908
Provider Enumeration Date: 11/08/2019
Last Update Date: 02/14/2020

Medicare PECOS Information:

PECOS PAC ID: 1951738988
Enrollment ID: I20200303001962

Medical Identifiers

Medical identifiers for Diane Wolstenholme such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417592908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP021119 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	SP021119 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Temple University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Faculty Practice Plan Inc	0345588711	1060
On Demand Urgent Care Group Pc	5991029712	74

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. Diane Wolstenholme allows following entities to bill medicare on her behalf.

Entity Name	Pennsylvania Urgent Care Centers, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902128721 PECOS PAC ID: 8123200631 Enrollment ID: O20110304000289

Entity Name	On Demand Urgent Care Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053729814 PECOS PAC ID: 5991029712 Enrollment ID: O20150126001443

Entity Name	Spuc, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518387562 PECOS PAC ID: 2466779285 Enrollment ID: O20150316001115

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. Diane Wolstenholme 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
Diane Wolstenholme, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-5030	Diane Wolstenholme, CRNP 3401 N Broad St, Philadelphia, PA 19140-5189 Ph: (215) 707-5030

Reviews and Comments

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Diane Wolstenholme, CRNP - Medicare Nurse Practitioner in Philadelphia, PA