Courtney Alyssa Chavan, MSN, APN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Stafford Township, New Jersey. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Plover Inpatient Services Llc and her current practice location is
1140 Route 72 W, Stafford Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 597-6011.
Courtney Alyssa Chavan is licensed to practice in New Jersey (license number 26NJ00618300) 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 1780040337.
Provider's Profile
| Full Name | Courtney Alyssa Chavan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1140 Route 72 W, Stafford Township, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Courtney Alyssa Chavan graduated from nursing school in 2015
NPI Data:
- NPI Number: 1780040337
- Provider Enumeration Date: 01/12/2016
- Last Update Date: 02/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264739481
- Enrollment ID: I20160401000546
Medical Identifiers
Medical identifiers for Courtney Alyssa Chavan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780040337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26NJ00618300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Plover Inpatient Services Llc | 1355561663 | 125 |
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. Courtney Alyssa Chavan allows following entities to bill medicare on her behalf.
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524 |
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| Entity Name | Plover Inpatient Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134534688
PECOS PAC ID: 1355561663
Enrollment ID: O20141009001113 |
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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. Courtney Alyssa Chavan 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 |
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Courtney Alyssa Chavan, MSN, APN, FNP-C
331 Newman Springs Rd Ste 220,
Red Bank, NJ 07701-5792
Ph: (732) 807-0877 | Courtney Alyssa Chavan, MSN, APN, FNP-C
1140 Route 72 W,
Stafford Township, NJ 08050-2412
Ph: (609) 597-6011 |
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