Makeda Stella Constable, in Philadelphia, PA - Medicare Nurse Practitioner

Makeda Stella Constable, is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. Her current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (914) 426-0002.

Makeda Stella Constable is licensed to practice in Pennsylvania (license number SP022386) 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 1144983008.

Contact Information

	Makeda Stella Constable,
	3400 Spruce St, Philadelphia, PA 19104-4238
	(914) 426-0002
	Not Available

Map and Direction

Provider's Profile

Full Name	Makeda Stella Constable
Gender	Female
Speciality	Nurse Practitioner
Location	3400 Spruce 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: 1144983008
Provider Enumeration Date: 10/18/2021
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 5294124699
Enrollment ID: I20211104002756

Medical Identifiers

Medical identifiers for Makeda Stella Constable such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144983008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN689974 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	SP022386 (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. Makeda Stella Constable allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Makeda Stella Constable 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
Makeda Stella Constable, 1500 Locust St Apt 3306, Philadelphia, PA 19102-4323 Ph: (914) 426-0003	Makeda Stella Constable, 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (914) 426-0002

Reviews and Comments

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Makeda Stella Constable, - Medicare Nurse Practitioner in Philadelphia, PA