Ms Diane Kenealy, RN NNP in Philadelphia, PA - Medicare Nurse Practitioner

Ms Diane Kenealy, RN NNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Philadelphia, Pennsylvania. Her current practice location is 5501 Old York Rd # Paley1, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 456-7170.

Ms Diane Kenealy is licensed to practice in Pennsylvania (license number SP012130) 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 1154409332.

Contact Information

	Ms Diane Kenealy, RN NNP
	5501 Old York Rd # Paley1, Philadelphia, PA 19141-3018
	(215) 456-7170
	(215) 456-4923

Map and Direction

Provider's Profile

Full Name	Ms Diane Kenealy
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	5501 Old York Rd # Paley1, 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: 1154409332
Provider Enumeration Date: 11/02/2006
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 7810022563
Enrollment ID: I20121203000398

Medical Identifiers

Medical identifiers for Ms Diane Kenealy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154409332	NPI	-	NPPES
1038803330002	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	26NN09780100 (New Jersey)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	SP012130 (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 Diane Kenealy allows following entities to bill medicare on her behalf.

Entity Name	Einstein Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728

Entity Name	Dlp Conemaugh Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522

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 Diane Kenealy 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 Diane Kenealy, RN NNP 101 E Olney Ave Ste 400, Philadelphia, PA 19120-2470 Ph: (215) 456-1825	Ms Diane Kenealy, RN NNP 5501 Old York Rd # Paley1, Philadelphia, PA 19141-3018 Ph: (215) 456-7170

Reviews and Comments

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Ms Diane Kenealy, RN NNP - Medicare Nurse Practitioner in Philadelphia, PA