Kurt Douglas De Haven, CRNP in Pittsburgh, PA

Kurt Douglas De Haven, CRNP is a medicare enrolled "Nurse Practitioner" in Pittsburgh, Pennsylvania. His current practice location is 320 E North Ave Ste 363, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 359-6137.

Kurt Douglas De Haven is licensed to practice in Pennsylvania (license number SP008316) 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 1063439511.

Contact Information

	Kurt Douglas De Haven, CRNP
	320 E North Ave Ste 363, Pittsburgh, PA 15212-4756
	(412) 359-6137
	(412) 359-4334

Map and Direction

Provider's Profile

Full Name	Kurt Douglas De Haven
Gender	Male
Speciality	Nurse Practitioner
Location	320 E North Ave Ste 363, Pittsburgh, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063439511
Provider Enumeration Date: 07/17/2006
Last Update Date: 10/05/2020

Medicare PECOS Information:

PECOS PAC ID: 8022084201
Enrollment ID: I20040908001544

Medical Identifiers

Medical identifiers for Kurt Douglas De Haven such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063439511	NPI	-	NPPES
1029987870001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP008316 (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. Kurt Douglas De Haven allows following entities to bill medicare on his 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

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. Kurt Douglas De Haven 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
Kurt Douglas De Haven, CRNP 320 E North Ave Ste 363, Pittsburgh, PA 15212-4756 Ph: (412) 359-6137	Kurt Douglas De Haven, CRNP 320 E North Ave Ste 363, Pittsburgh, PA 15212-4756 Ph: (412) 359-6137

Reviews and Comments

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Kurt Douglas De Haven, CRNP - Medicare Nurse Practitioner in Pittsburgh, PA