Nicole Marie Hartman, CRNP in Philadelphia, PA

Nicole Marie Hartman, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 5000 Woodland Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 726-9807.

Nicole Marie Hartman is licensed to practice in Pennsylvania (license number SP019695) 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 1518437615.

Contact Information

	Nicole Marie Hartman, CRNP
	5000 Woodland Ave, Philadelphia, PA 19143-5137
	(215) 726-9807
	(215) 726-0424

Map and Direction

Provider's Profile

Full Name	Nicole Marie Hartman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5000 Woodland Ave, 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: 1518437615
Provider Enumeration Date: 11/30/2018
Last Update Date: 08/05/2019

Medicare PECOS Information:

PECOS PAC ID: 2163765967
Enrollment ID: I20190520000046

Medical Identifiers

Medical identifiers for Nicole Marie Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518437615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP019695 (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. Nicole Marie Hartman allows following entities to bill medicare on her behalf.

Entity Name	Greater Philadelphia Health Action Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205140902 PECOS PAC ID: 9537064977 Enrollment ID: O20110602000389

Entity Name	Rediclinic Of Pa, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649672874 PECOS PAC ID: 1456653237 Enrollment ID: O20160111002414

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. Nicole Marie Hartman 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
Nicole Marie Hartman, CRNP 1401 S 31st St Fl 2, Philadelphia, PA 19146-3506 Ph: (215) 925-2400	Nicole Marie Hartman, CRNP 5000 Woodland Ave, Philadelphia, PA 19143-5137 Ph: (215) 726-9807

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

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Nicole Marie Hartman, CRNP - Medicare Nurse Practitioner in Philadelphia, PA