Ms Kathleen Schroeder Thistle, CRNP in Philadelphia, PA

Ms Kathleen Schroeder Thistle, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. Her current practice location is 111 S 11th St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 955-6000.

Ms Kathleen Schroeder Thistle is licensed to practice in Pennsylvania (license number SP-003978U) 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 1164779807.

Contact Information

	Ms Kathleen Schroeder Thistle, CRNP
	111 S 11th St, Philadelphia, PA 19107-4824
	(215) 955-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kathleen Schroeder Thistle
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	111 S 11th St, 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: 1164779807
Provider Enumeration Date: 08/13/2012
Last Update Date: 08/13/2012

Medicare PECOS Information:

PECOS PAC ID: 8527281518
Enrollment ID: I20220330001688

Medical Identifiers

Medical identifiers for Ms Kathleen Schroeder Thistle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164779807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP-003978U (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 Kathleen Schroeder Thistle allows following entities to bill medicare on her behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

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 Kathleen Schroeder Thistle 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 Kathleen Schroeder Thistle, CRNP 3 Banff Dr, Mullica Hill, NJ 08062-9559 Ph: (856) 478-4894	Ms Kathleen Schroeder Thistle, CRNP 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (215) 955-6000

Reviews and Comments

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Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Ms Kathleen Schroeder Thistle, CRNP - Medicare Nurse Practitioner in Philadelphia, PA