Jacqueline M Redman, CRNP in Philadelphia, PA

Jacqueline M Redman, CRNP is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aria Health Physician Services 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) 707-3601.

Jacqueline M Redman is licensed to practice in Pennsylvania (license number SP012724) 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 1063753598.

Contact Information

	Jacqueline M Redman, CRNP
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-3601
	(215) 707-1576

Map and Direction

Provider's Profile

Full Name	Jacqueline M Redman
Gender	Female
Speciality	Nurse Practitioner
Experience	12 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:

Jacqueline M Redman graduated from nursing school in 2012

NPI Data:

NPI Number: 1063753598
Provider Enumeration Date: 03/07/2013
Last Update Date: 12/27/2017

Medicare PECOS Information:

PECOS PAC ID: 6507009255
Enrollment ID: I20130827000831

Medical Identifiers

Medical identifiers for Jacqueline M Redman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063753598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP012724 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	SP012724 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Heath	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aria Health Physician Services	3577467018	407

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. Jacqueline M Redman allows following entities to bill medicare on her behalf.

Entity Name	Aria Health Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750949806 PECOS PAC ID: 3577467018 Enrollment ID: O20040224000045

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

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	West Cayuga Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811449697 PECOS PAC ID: 8022398080 Enrollment ID: O20161208000977

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. Jacqueline M Redman 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
Jacqueline M Redman, CRNP 2450 W Hunting Park Ave, Physicians Office Building, Suite 208, Philadelphia, PA 19129-1302 Ph: (215) 707-3601	Jacqueline M Redman, CRNP 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-3601

Reviews and Comments

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Jacqueline M Redman, CRNP - Medicare Nurse Practitioner in Philadelphia, PA