Herline Raphael, - Medicare Nurse Practitioner in Stroudsburg, PA

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Herline Raphael, is a medicare enrolled "Nurse Practitioner" in Stroudsburg, Pennsylvania. 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 Snp Direct Paths Llc, Advanced Inpatient Medicine Pc, Comprehensive Ot Pt Slp And Adult Health Np Services, Pllc, Np Family Health Visits And Np Adult Health Visits Pllc, Comprehensive Ot Pt Slp And Adult Health Np Services, Pllc and her current practice location is 104 Skinner Hill Rd, Stroudsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (845) 641-9412.

Herline Raphael is licensed to practice in Pennsylvania (license number SP017091) 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 1326584046.

Contact Information

Herline Raphael,
104 Skinner Hill Rd,
Stroudsburg, PA 18360
(845) 641-9412
Not Available

Map and Direction




Provider's Profile

Full NameHerline Raphael
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location104 Skinner Hill Rd, Stroudsburg, 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:
  • Herline Raphael graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1326584046
  • Provider Enumeration Date: 01/19/2017
  • Last Update Date: 01/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4385911080
  • Enrollment ID: I20170601000141

Medical Identifiers

Medical identifiers for Herline Raphael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326584046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP017091 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Snp Direct Paths Llc44869390302
Advanced Inpatient Medicine Pc640699577814
Comprehensive Ot Pt Slp And Adult Health Np Services, Pllc63052236783
Np Family Health Visits And Np Adult Health Visits Pllc86283203063
Comprehensive Ot Pt Slp And Adult Health Np Services, Pllc63052236783

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. Herline Raphael allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameAdvanced Inpatient Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871725366
PECOS PAC ID: 6406995778
Enrollment ID: O20091125000458
Entity NameAdvanced Inpatient Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396168589
PECOS PAC ID: 8921230749
Enrollment ID: O20140410000089
Entity NameSnp Direct Paths Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336687201
PECOS PAC ID: 4486939030
Enrollment ID: O20170321002516
Entity NameHospitalist Services At Moses Taylor, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497366207
PECOS PAC ID: 7911326509
Enrollment ID: O20201001000073
Entity NamePennsylvania Hospitalist Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558126342
PECOS PAC ID: 3870035611
Enrollment ID: O20240607000668

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. Herline Raphael 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
Herline Raphael,
4178 Blue Mountain Xing,
East Stroudsburg, PA 18301-9333

Ph: (845) 641-9412		Herline Raphael,
104 Skinner Hill Rd,
Stroudsburg, PA 18360

Ph: (845) 641-9412

Reviews and Comments


Nurse Practitioner Nurses in Stroudsburg, PA

Geraldine Anamege,
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Phone: 570-218-8700    
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Grace Mogaka,
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Melania Falik, CRNP
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Practice Location: 5623 Olde Mill Run, Stroudsburg, PA 18360
Phone: 973-980-8797    
Erica C Lyden, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18 S 9th St Ste 107, Stroudsburg, PA 18360
Phone: 570-213-9133    Fax: 570-209-8806
Jeannine Patrick-blaikie, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 292 Frantz Rd, Ste 108, Stroudsburg, PA 18360
Phone: 570-426-2960    Fax: 570-426-2965
Danielle Toshaun Thompson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 St Lukes Ln, Stroudsburg, PA 18360
Phone: 484-526-6643    Fax: 833-616-5210

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.