Diane Marie Coughlan, CRNP is a medicare enrolled "Nurse Practitioner" in Upper Chichester, Pennsylvania. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tapestry Telehealth Pllc and her current practice location is
4115 Chichester Ave, Upper Chichester, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 484-4422.
Diane Marie Coughlan is licensed to practice in Pennsylvania (license number SP011208) 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 1124322508.
Provider's Profile
| Full Name | Diane Marie Coughlan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 4115 Chichester Ave, Upper Chichester, Pennsylvania |
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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:
- Diane Marie Coughlan graduated from nursing school in 2010
NPI Data:
- NPI Number: 1124322508
- Provider Enumeration Date: 12/29/2010
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759565302
- Enrollment ID: I20110406000682
Medical Identifiers
Medical identifiers for Diane Marie Coughlan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124322508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | SP011208 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tapestry Telehealth Pllc | 4789942335 | 73 |
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. Diane Marie Coughlan allows following entities to bill medicare on her behalf.
| Entity Name | Tapestry Telehealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992215446
PECOS PAC ID: 4789942335
Enrollment ID: O20180222000127 |
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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. Diane Marie Coughlan 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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Diane Marie Coughlan, CRNP
4115 Chichester Ave,
Upper Chichester, PA 19061-3139
Ph: (610) 484-4422 | Diane Marie Coughlan, CRNP
4115 Chichester Ave,
Upper Chichester, PA 19061-3139
Ph: (610) 484-4422 |
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