Ms Diane M Travlos, APN in Philadelphia, PA - Medicare Nurse Practitioner

Ms Diane M Travlos, APN is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. Her current practice location is Thomas Jefferson University Hospital, 111 S. 11th Street, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 955-6000.

Ms Diane M Travlos is licensed to practice in Pennsylvania (license number VP003505J) 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 1104901289.

Contact Information

	Ms Diane M Travlos, APN
	Thomas Jefferson University Hospital, 111 S. 11th Street, Philadelphia, PA 19107
	(215) 955-6000
	(215) 923-9519

Map and Direction

Provider's Profile

Full Name	Ms Diane M Travlos
Gender	Female
Speciality	Nurse Practitioner
Location	Thomas Jefferson University Hospital, 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: 1104901289
Provider Enumeration Date: 10/26/2006
Last Update Date: 05/30/2018

Medicare PECOS Information:

PECOS PAC ID: 0547151516
Enrollment ID: I20040322000491

Medical Identifiers

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

Identifier	Type	State	Issuer
1104901289	NPI	-	NPPES
0021679	Medicaid	NJ
4039068	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	LM-0000160 (Delaware)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	VP003505J (Pennsylvania)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	VP003505J (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	VP003505J (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 M Travlos allows following entities to bill medicare on her behalf.

Entity Name	Prospect Health Access Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737

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 M Travlos 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 M Travlos, APN Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-4000	Ms Diane M Travlos, APN Thomas Jefferson University Hospital, 111 S. 11th Street, Philadelphia, PA 19107 Ph: (215) 955-6000

Reviews and Comments

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Ms Diane M Travlos, APN - Medicare Nurse Practitioner in Philadelphia, PA