Justin Egoville, NP in Philadelphia, PA - Medicare Nurse Practitioner

Justin Egoville, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Codac Health Recovery And Wellness and his current practice location is 80001 State Rd., Mhm Correctional Services, Mod Ii, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 624-0797.

Justin Egoville is licensed to practice in Pennsylvania (license number SP011762) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336410851.

Contact Information

	Justin Egoville, NP
	80001 State Rd., Mhm Correctional Services, Mod Ii, Philadelphia, PA 19136-0000
	(215) 624-0797
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Egoville
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	80001 State Rd., Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justin Egoville graduated from nursing school in 2010

NPI Data:

NPI Number: 1336410851
Provider Enumeration Date: 01/13/2012
Last Update Date: 01/13/2012

Medicare PECOS Information:

PECOS PAC ID: 9739309360
Enrollment ID: I20141002002596

Medical Identifiers

Medical identifiers for Justin Egoville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336410851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP011762 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Codac Health Recovery And Wellness	6103813811	27

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. Justin Egoville allows following entities to bill medicare on his behalf.

Entity Name	Codac Health Recovery And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033156567 PECOS PAC ID: 6103813811 Enrollment ID: O20040426001693

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. Justin Egoville 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
Justin Egoville, NP 257 Winding Way, Merion Station, PA 19066-1225 Ph: (610) 668-9528	Justin Egoville, NP 80001 State Rd., Mhm Correctional Services, Mod Ii, Philadelphia, PA 19136-0000 Ph: (215) 624-0797

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

Justin Egoville, NP - Medicare Nurse Practitioner in Philadelphia, PA