Mrs Ginna Elizabeth Deitrick, CRNP in Philadelphia, PA

Mrs Ginna Elizabeth Deitrick, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. She went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Penn-medical Group and her current practice location is 3400 Spruce Street, Interventional Radiology, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-3005.

Mrs Ginna Elizabeth Deitrick is licensed to practice in Pennsylvania (license number SP009820) 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 1790961480.

Contact Information

	Mrs Ginna Elizabeth Deitrick, CRNP
	3400 Spruce Street, Interventional Radiology, Philadelphia, PA 19104-4206
	(215) 662-3005
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ginna Elizabeth Deitrick
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	3400 Spruce 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 Ginna Elizabeth Deitrick attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2007

NPI Data:

NPI Number: 1790961480
Provider Enumeration Date: 01/14/2008
Last Update Date: 08/15/2019

Medicare PECOS Information:

PECOS PAC ID: 7416123302
Enrollment ID: I20111227000071

Medical Identifiers

Medical identifiers for Mrs Ginna Elizabeth Deitrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790961480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0200X	Registered Nurse - Oncology	RN556396 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	SP009820 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn-medical Group	6204730955	3051

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 Ginna Elizabeth Deitrick 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. Mrs Ginna Elizabeth Deitrick 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 Ginna Elizabeth Deitrick, CRNP 3400 Spruce Street, Philadelphia, PA 19104-4206 Ph: (215) 662-3005	Mrs Ginna Elizabeth Deitrick, CRNP 3400 Spruce Street, Interventional Radiology, Philadelphia, PA 19104-4206 Ph: (215) 662-3005

Reviews and Comments

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Mrs Ginna Elizabeth Deitrick, CRNP - Medicare Nurse Practitioner in Philadelphia, PA