Mr Stephen Michael Donnelly, CRNP in Philadelphia, PA

Mr Stephen Michael Donnelly, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Temple Faculty Practice Plan Inc and his current practice location is 333 Cottman Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 214-3943.

Mr Stephen Michael Donnelly is licensed to practice in Pennsylvania (license number SP016592) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144773383.

Contact Information

	Mr Stephen Michael Donnelly, CRNP
	333 Cottman Ave, Philadelphia, PA 19111-2434
	(215) 214-3943
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Stephen Michael Donnelly
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	333 Cottman Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Stephen Michael Donnelly graduated from nursing school in 2016

NPI Data:

NPI Number: 1144773383
Provider Enumeration Date: 07/24/2016
Last Update Date: 11/02/2016

Medicare PECOS Information:

PECOS PAC ID: 1052691094
Enrollment ID: I20161208000125

Medical Identifiers

Medical identifiers for Mr Stephen Michael Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144773383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0200X	Registered Nurse - Oncology	RN602929 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP016592 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Temple University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Faculty Practice Plan Inc	0345588711	1063

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. Mr Stephen Michael Donnelly allows following entities to bill medicare on his behalf.

Entity Name	Fox Chase Cancer Center Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Mr Stephen Michael Donnelly 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
Mr Stephen Michael Donnelly, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (814) 934-3750	Mr Stephen Michael Donnelly, CRNP 333 Cottman Ave, Philadelphia, PA 19111-2434 Ph: (215) 214-3943

Reviews and Comments

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Mr Stephen Michael Donnelly, CRNP - Medicare Nurse Practitioner in Philadelphia, PA