Theresa Pavone, NP - Medicare Nurse Practitioner in Wynnewood, PA

Theresa Pavone, NP is a medicare enrolled "Nurse Practitioner" in Wynnewood, Pennsylvania. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Main Line Healthcare and her current practice location is 100 E Lancaster Ave, Jd Lankenau Pavilion, Mezzanine, Wynnewood, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 476-1000.

Theresa Pavone is licensed to practice in Pennsylvania (license number SP008518) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538260294.

Contact Information

Theresa Pavone, NP
100 E Lancaster Ave, Jd Lankenau Pavilion, Mezzanine,
Wynnewood, PA 19096-3450
(484) 476-1000
(484) 476-9000

Map and Direction




Provider's Profile

Full NameTheresa Pavone
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location100 E Lancaster Ave, Wynnewood, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Pavone graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1538260294
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 10/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7416980917
  • Enrollment ID: I20050921000148

Medical Identifiers

Medical identifiers for Theresa Pavone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538260294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP008518 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Line Healthcare1951215201907

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. Theresa Pavone allows following entities to bill medicare on her behalf.
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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. Theresa Pavone 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 AddressPractice Location Address
Theresa Pavone, NP
100 E Lancaster Ave, Jd Lankenau Pavilion, Mezzanine,
Wynnewood, PA 19096-3450

Ph: (484) 476-1000
Theresa Pavone, NP
100 E Lancaster Ave, Jd Lankenau Pavilion, Mezzanine,
Wynnewood, PA 19096-3450

Ph: (484) 476-1000

Reviews and Comments


Nurse Practitioner Nurses in Wynnewood, PA

Altaira Anne Laverda, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096
Phone: 484-565-1293    Fax: 484-476-7855
Melinda R Milliken, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Lancaster Avenue, Suite 230, Wynnewood, PA 19096
Phone: 610-642-3796    
Jacqueline S Shapiro, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Lancaster Ave, Suite 301, Wynnewood, PA 19096
Phone: 484-476-4650    Fax: 610-645-3577
Ms. Ellen Jesse Bernstein, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 E Lancaster Ave, Suite 370, Wynnewood, PA 19096
Phone: 610-642-3005    Fax: 610-642-3057
Melissa Diane Buchter, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096
Phone: 484-476-1000    
Ms. Sherrie Stiffler Freilich, RN CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Lancaster Ave, Lankenau Heart Pavilion, Mezzanine, Wynnewood, PA 19096
Phone: 484-476-1000    Fax: 484-476-9000
Jacqueline Mcgee,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100e Lancaster Ave, Wynnewood, PA 19096
Phone: 484-476-1000    Fax: 484-476-9000

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.