Karena A Gandy, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Karena A Gandy, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 5364 Jackson St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 650-8204.

Karena A Gandy is licensed to practice in Pennsylvania (license number SP010721) 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 1376869677.

Contact Information

	Karena A Gandy, CRNP
	5364 Jackson St, Philadelphia, PA 19124-1565
	(215) 650-8204
	Not Available

Map and Direction

Provider's Profile

Full Name	Karena A Gandy
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5364 Jackson 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: 1376869677
Provider Enumeration Date: 04/12/2010
Last Update Date: 03/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2466584941
Enrollment ID: I20100719000808

Medical Identifiers

Medical identifiers for Karena A Gandy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376869677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19076 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	SP010721 (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. Karena A Gandy allows following entities to bill medicare on her behalf.

Entity Name	Primary Homecare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629023593 PECOS PAC ID: 3274437462 Enrollment ID: O20031120000241

Entity Name	Infinite Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20201021000978

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. Karena A Gandy 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
Karena A Gandy, CRNP 5364 Jackson St, Philadelphia, PA 19124-1565 Ph: () -	Karena A Gandy, CRNP 5364 Jackson St, Philadelphia, PA 19124-1565 Ph: (215) 650-8204

Reviews and Comments

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Karena A Gandy, CRNP - Medicare Nurse Practitioner in Philadelphia, PA