Ellen Kligerman Waters, CRNP in Philadelphia, PA

Ellen Kligerman Waters, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Philadelphia, Pennsylvania. Her current practice location is 3551 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 430-4000.

Ellen Kligerman Waters is licensed to practice in Pennsylvania (license number SP017938) 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 1144725151.

Contact Information

	Ellen Kligerman Waters, CRNP
	3551 N Broad St, Philadelphia, PA 19140-4160
	(215) 430-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ellen Kligerman Waters
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3551 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: 1144725151
Provider Enumeration Date: 03/30/2018
Last Update Date: 03/30/2018

Medicare PECOS Information:

PECOS PAC ID: 2668736877
Enrollment ID: I20180515002279

Medical Identifiers

Medical identifiers for Ellen Kligerman Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144725151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	SP017938 (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. Ellen Kligerman Waters allows following entities to bill medicare on her behalf.

Entity Name	Shriners Hospitals For Children
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878

Entity Name	Stc Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254

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. Ellen Kligerman Waters 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
Ellen Kligerman Waters, CRNP 3551 N Broad St, Philadelphia, PA 19140-4160 Ph: (215) 430-4000	Ellen Kligerman Waters, CRNP 3551 N Broad St, Philadelphia, PA 19140-4160 Ph: (215) 430-4000

Reviews and Comments

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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
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Ellen Kligerman Waters, CRNP - Medicare Nurse Practitioner in Philadelphia, PA