Michael A Pisa, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Michael A Pisa, CRNP is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-3487.

Michael A Pisa is licensed to practice in Pennsylvania (license number RN578860) 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 1790967073.

Contact Information

	Michael A Pisa, CRNP
	3400 Spruce St, Philadelphia, PA 19104-4238
	(215) 662-3487
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael A Pisa
Gender	Male
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: 1790967073
Provider Enumeration Date: 11/29/2007
Last Update Date: 03/24/2014

Medicare PECOS Information:

PECOS PAC ID: 2163502691
Enrollment ID: I20080109000382

Medical Identifiers

Medical identifiers for Michael A Pisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790967073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN578860 (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. Michael A Pisa allows following entities to bill medicare on his 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. Michael A Pisa 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
Michael A Pisa, CRNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 531-2399	Michael A Pisa, CRNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 662-3487

Reviews and Comments

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Michael A Pisa, CRNP - Medicare Nurse Practitioner in Philadelphia, PA