Mrs Peggy Anne Derusso, CRNP in Philadelphia, PA

Mrs Peggy Anne Derusso, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Philadelphia, Pennsylvania. Her current practice location is 7505 Bustleton Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 333-7505.

Mrs Peggy Anne Derusso is licensed to practice in Pennsylvania (license number SP021349) 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 1144860735.

Contact Information

	Mrs Peggy Anne Derusso, CRNP
	7505 Bustleton Ave, Philadelphia, PA 19152-4136
	(215) 333-7505
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Peggy Anne Derusso
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	7505 Bustleton Ave, 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: 1144860735
Provider Enumeration Date: 01/10/2020
Last Update Date: 01/10/2020

Medicare PECOS Information:

PECOS PAC ID: 6901227115
Enrollment ID: I20200526001506

Medical Identifiers

Medical identifiers for Mrs Peggy Anne Derusso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144860735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	SP021349 (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. Mrs Peggy Anne Derusso allows following entities to bill medicare on her behalf.

Entity Name	Gregory Derusso Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689724320 PECOS PAC ID: 2163522681 Enrollment ID: O20070713000076

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 Peggy Anne Derusso 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 Peggy Anne Derusso, CRNP 7505 Bustleton Ave, Philadelphia, PA 19152-4136 Ph: (215) 333-7505	Mrs Peggy Anne Derusso, CRNP 7505 Bustleton Ave, Philadelphia, PA 19152-4136 Ph: (215) 333-7505

Reviews and Comments

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Mrs Peggy Anne Derusso, CRNP - Medicare Nurse Practitioner in Philadelphia, PA