Mr John Devine, NURSE PRACTITIONER in Philadelphia, PA

Mr John Devine, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 1845 Walnut St Ste 1540, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (267) 902-5509.

Mr John Devine is licensed to practice in Pennsylvania (license number SP017626) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1487177366.

Contact Information

	Mr John Devine, NURSE PRACTITIONER
	1845 Walnut St Ste 1540, Philadelphia, PA 19103-4736
	(267) 902-5509
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John Devine
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1845 Walnut St Ste 1540, Philadelphia, Pennsylvania
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr John Devine graduated from nursing school in 2021

NPI Data:

NPI Number: 1487177366
Provider Enumeration Date: 07/21/2017
Last Update Date: 07/20/2022

Medicare PECOS Information:

PECOS PAC ID: 0244599959
Enrollment ID: I20180125000443

Medical Identifiers

Medical identifiers for Mr John Devine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487177366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP017626 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	SP017626 (Pennsylvania)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	SP017626 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ01294100 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP017626 (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. Mr John Devine allows following entities to bill medicare on his behalf.

Entity Name	Vista Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659452027 PECOS PAC ID: 5597743344 Enrollment ID: O20040709000144

Entity Name	Brightway Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548938996 PECOS PAC ID: 0547626863 Enrollment ID: O20230818001289

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. Mr John Devine 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
Mr John Devine, NURSE PRACTITIONER Po Box 11906, Philadelphia, PA 19145-0206 Ph: (215) 850-4538	Mr John Devine, NURSE PRACTITIONER 1845 Walnut St Ste 1540, Philadelphia, PA 19103-4736 Ph: (267) 902-5509

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

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Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
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Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Mr John Devine, NURSE PRACTITIONER - Medicare Nurse Practitioner in Philadelphia, PA