Thomas Edward Masullo, MSN, CRNP-BC in Philadelphia, PA

Thomas Edward Masullo, MSN, CRNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. His current practice location is 5901 Market St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 328-2165.

Thomas Edward Masullo is licensed to practice in Pennsylvania (license number SP024997) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821756057.

Contact Information

	Thomas Edward Masullo, MSN, CRNP-BC
	5901 Market St, Philadelphia, PA 19139-3117
	(610) 328-2165
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas Edward Masullo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5901 Market 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: 1821756057
Provider Enumeration Date: 12/06/2021
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9335533470
Enrollment ID: I20220307000381

Medical Identifiers

Medical identifiers for Thomas Edward Masullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821756057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP024997 (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. Thomas Edward Masullo allows following entities to bill medicare on his behalf.

Entity Name	Horizon House, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841377611 PECOS PAC ID: 9638163645 Enrollment ID: O20040413000515

Entity Name	Pa Memory And Behavioral Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437855855 PECOS PAC ID: 3476918558 Enrollment ID: O20230425000022

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. Thomas Edward Masullo 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
Thomas Edward Masullo, MSN, CRNP-BC 173 Fern Ave, Collingswood, NJ 08108-1920 Ph: (856) 676-2337	Thomas Edward Masullo, MSN, CRNP-BC 5901 Market St, Philadelphia, PA 19139-3117 Ph: (610) 328-2165

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Thomas Edward Masullo, MSN, CRNP-BC - Medicare Nurse Practitioner in Philadelphia, PA