Stephanie Herzog, FNP in Erie, PA - Medicare Nurse Practitioner

Stephanie Herzog, FNP is a medicare enrolled "Nurse Practitioner - Family" in Erie, Pennsylvania. Her current practice location is 2315 Myrtle St Ste L90, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 452-7575.

Stephanie Herzog is licensed to practice in Pennsylvania (license number SP028274) 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 1316724990.

Contact Information

	Stephanie Herzog, FNP
	2315 Myrtle St Ste L90, Erie, PA 16502-4607
	(814) 452-7575
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Herzog
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2315 Myrtle St Ste L90, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316724990
Provider Enumeration Date: 09/08/2023
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7810347101
Enrollment ID: I20231228003188

Medical Identifiers

Medical identifiers for Stephanie Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316724990	NPI	-	NPPES
16088240	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP028274 (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. Stephanie Herzog allows following entities to bill medicare on her behalf.

Entity Name	Allegheny Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602

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. Stephanie Herzog 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
Stephanie Herzog, FNP 2315 Myrtle St Ste L90, Erie, PA 16502-4607 Ph: (814) 452-7575	Stephanie Herzog, FNP 2315 Myrtle St Ste L90, Erie, PA 16502-4607 Ph: (814) 452-7575

Reviews and Comments

Nurse Practitioner Nurses in Erie, PA

Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074
Jennifer Flo Norris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Westminster Blvd, Erie, PA 16506 Phone: 814-440-2278
Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809
Mr. Kenneth Charles Agnew Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5037 Crystal Dr, Erie, PA 16505 Phone: 814-218-1850

Stephanie Herzog, FNP - Medicare Nurse Practitioner in Erie, PA