Jennifer Susan Roman, CRNP in Philadelphia, PA

Jennifer Susan Roman, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. Her current practice location is 1101 Market St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 503-4722.

Jennifer Susan Roman is licensed to practice in Pennsylvania (license number SP025738) 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 1871230987.

Contact Information

	Jennifer Susan Roman, CRNP
	1101 Market St, Philadelphia, PA 19107-2934
	(215) 503-4722
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Susan Roman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1101 Market 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: 1871230987
Provider Enumeration Date: 05/19/2022
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 5193109387
Enrollment ID: I20220907003647

Medical Identifiers

Medical identifiers for Jennifer Susan Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871230987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP025738 (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. Jennifer Susan Roman allows following entities to bill medicare on her behalf.

Entity Name	Allegheny Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602

Entity Name	Jefferson Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891763249 PECOS PAC ID: 2163336017 Enrollment ID: O20040917000518

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. Jennifer Susan Roman 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
Jennifer Susan Roman, CRNP 649 S Henderson Rd Apt D410, King Of Prussia, PA 19406-3548 Ph: (484) 431-7014	Jennifer Susan Roman, CRNP 1101 Market St, Philadelphia, PA 19107-2934 Ph: (215) 503-4722

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
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
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Jennifer Susan Roman, CRNP - Medicare Nurse Practitioner in Philadelphia, PA