Eric Blaze Degelow, in Harrisburg, PA - Medicare Nurse Practitioner

Eric Blaze Degelow, is a medicare enrolled "Nurse Practitioner" in Harrisburg, Pennsylvania. His current practice location is 111 S Front St, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 231-8772.

Eric Blaze Degelow is licensed to practice in Pennsylvania (license number SPO27130) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790483105.

Contact Information

	Eric Blaze Degelow,
	111 S Front St, Harrisburg, PA 17101-2010
	(717) 231-8772
	Not Available

Map and Direction

Provider's Profile

Full Name	Eric Blaze Degelow
Gender	Male
Speciality	Nurse Practitioner
Location	111 S Front St, Harrisburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790483105
Provider Enumeration Date: 02/16/2023
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2567836851
Enrollment ID: I20230329000173

Medical Identifiers

Medical identifiers for Eric Blaze Degelow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790483105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SPO27130 (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. Eric Blaze Degelow allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Health Emergency Department Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487693404 PECOS PAC ID: 0143124701 Enrollment ID: O20031125000218

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. Eric Blaze Degelow 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
Eric Blaze Degelow, 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 231-8772	Eric Blaze Degelow, 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 231-8772

Reviews and Comments

Nurse Practitioner Nurses in Harrisburg, PA

Mrs. Elena Yurievna Nebrat, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104 Phone: 717-231-8555 Fax: 717-231-8568
Jonelle R Derk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716
Yanxia Wang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 South Front Street, 6th Floor Bma, Harrisburg, PA 17104 Phone: 717-988-9370 Fax: 717-703-0154
Justin Rogers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3131
Irene Nkem, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621

Eric Blaze Degelow, - Medicare Nurse Practitioner in Harrisburg, PA