Mrs Christine Nieroda Clancy, CRNP in Philadelphia, PA

Mrs Christine Nieroda Clancy, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Philadelphia, Pennsylvania. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jefferson University Physicians and her current practice location is 211 S. 9th Street, Suite 600, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 955-1925.

Mrs Christine Nieroda Clancy is licensed to practice in Pennsylvania (license number VP004645C) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487677084.

Contact Information

	Mrs Christine Nieroda Clancy, CRNP
	211 S. 9th Street, Suite 600, Philadelphia, PA 19107
	(215) 955-1925
	(215) 928-3160

Map and Direction

Provider's Profile

Full Name	Mrs Christine Nieroda Clancy
Gender	Female
Speciality	Nurse Practitioner
Experience	27 Years
Location	211 S. 9th Street, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Christine Nieroda Clancy graduated from nursing school in 1997

NPI Data:

NPI Number: 1487677084
Provider Enumeration Date: 07/25/2006
Last Update Date: 10/25/2018

Medicare PECOS Information:

PECOS PAC ID: 1658311717
Enrollment ID: I20050509000165

Medical Identifiers

Medical identifiers for Mrs Christine Nieroda Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487677084	NPI	-	NPPES
103075213	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	VP004645C (Pennsylvania)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	VP004645C (Pennsylvania)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	VP004645C (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas Jefferson University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson University Physicians	7911819180	1273

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. Mrs Christine Nieroda Clancy allows following entities to bill medicare on her behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Melrose Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417063249 PECOS PAC ID: 1254302078 Enrollment ID: O20040804001494

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. Mrs Christine Nieroda Clancy 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
Mrs Christine Nieroda Clancy, CRNP 211 S. 9th Street, Suite 600, Philadelphia, PA 19107-6810 Ph: (215) 955-1925	Mrs Christine Nieroda Clancy, CRNP 211 S. 9th Street, Suite 600, Philadelphia, PA 19107 Ph: (215) 955-1925

Reviews and Comments

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Mrs Christine Nieroda Clancy, CRNP - Medicare Nurse Practitioner in Philadelphia, PA