Miss Kori Elizabeth Manfredo, CRNP, FNP-BC in Philadelphia, PA

Miss Kori Elizabeth Manfredo, CRNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 1626 Locust St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (470) 410-4080.

Miss Kori Elizabeth Manfredo is licensed to practice in Pennsylvania (license number SP017974) 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 1265943435.

Contact Information

	Miss Kori Elizabeth Manfredo, CRNP, FNP-BC
	1626 Locust St, Philadelphia, PA 19103
	(470) 410-4080
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Kori Elizabeth Manfredo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1626 Locust 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: 1265943435
Provider Enumeration Date: 10/16/2017
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8527483460
Enrollment ID: I20200810000610

Medical Identifiers

Medical identifiers for Miss Kori Elizabeth Manfredo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265943435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP017974 (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. Miss Kori Elizabeth Manfredo allows following entities to bill medicare on her behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

Entity Name	Central Outreach Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063804136 PECOS PAC ID: 6507186772 Enrollment ID: O20150529000928

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. Miss Kori Elizabeth Manfredo 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
Miss Kori Elizabeth Manfredo, CRNP, FNP-BC 3504 Ivy Dr, Murrysville, PA 15668-1607 Ph: (412) 613-9762	Miss Kori Elizabeth Manfredo, CRNP, FNP-BC 1626 Locust St, Philadelphia, PA 19103 Ph: (470) 410-4080

Reviews and Comments

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Miss Kori Elizabeth Manfredo, CRNP, FNP-BC - Medicare Nurse Practitioner in Philadelphia, PA