Mrs Tina Marie Mckennon, CRNP in Philadelphia, PA

Mrs Tina Marie Mckennon, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clinical Health Care Associates Of New Jersey Pc and her current practice location is 51 N 39th Street, Cupp Building 1st Floor, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-9801.

Mrs Tina Marie Mckennon is licensed to practice in Pennsylvania (license number SP015746) 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 1992163422.

Contact Information

	Mrs Tina Marie Mckennon, CRNP
	51 N 39th Street, Cupp Building 1st Floor, Philadelphia, PA 19104-2640
	(215) 662-9801
	(215) 243-3249

Map and Direction

Provider's Profile

Full Name	Mrs Tina Marie Mckennon
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	51 N 39th 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 Tina Marie Mckennon attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2013

NPI Data:

NPI Number: 1992163422
Provider Enumeration Date: 01/28/2016
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6305135088
Enrollment ID: I20210803003473

Medical Identifiers

Medical identifiers for Mrs Tina Marie Mckennon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992163422	NPI	-	NPPES
103155510	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	A0915003 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	26NJ01153900 (New Jersey)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	SP015746 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Penn Presbyterian Medical Center	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinical Health Care Associates Of New Jersey Pc	0749180198	673

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 Tina Marie Mckennon allows following entities to bill medicare on her behalf.

Entity Name	Clinical Health Care Associates Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508019241 PECOS PAC ID: 0749180198 Enrollment ID: O20050725000214

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 Tina Marie Mckennon 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 Tina Marie Mckennon, CRNP 51 N 39th Street, Cupp Building 1st Floor, Philadelphia, PA 19104-2640 Ph: (215) 662-9801	Mrs Tina Marie Mckennon, CRNP 51 N 39th Street, Cupp Building 1st Floor, Philadelphia, PA 19104-2640 Ph: (215) 662-9801

Reviews and Comments

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Mrs Tina Marie Mckennon, CRNP - Medicare Nurse Practitioner in Philadelphia, PA