Ms Carol A Proud, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Ms Carol A Proud, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. Her current practice location is 3400 Spruce Street, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-2428.

Ms Carol A Proud is licensed to practice in Pennsylvania (license number SP 009781) 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 1598929382.

Contact Information

	Ms Carol A Proud, CRNP
	3400 Spruce Street, Philadelphia, PA 19104-4206
	(215) 662-2428
	(215) 481-6741

Map and Direction

Provider's Profile

Full Name	Ms Carol A Proud
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3400 Spruce Street, 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: 1598929382
Provider Enumeration Date: 07/11/2008
Last Update Date: 09/03/2015

Medicare PECOS Information:

PECOS PAC ID: 8022166255
Enrollment ID: I20090428000282

Medical Identifiers

Medical identifiers for Ms Carol A Proud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598929382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	SP 009781 (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. Ms Carol A Proud 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. Ms Carol A Proud 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
Ms Carol A Proud, CRNP 3400 Spruce Street, Philadelphia, PA 19104-4206 Ph: (215) 862-2428	Ms Carol A Proud, CRNP 3400 Spruce Street, Philadelphia, PA 19104-4206 Ph: (215) 662-2428

Reviews and Comments

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Ms Carol A Proud, CRNP - Medicare Nurse Practitioner in Philadelphia, PA