Kourtni Prodan, CRNP - Medicare Nurse Practitioner in Braddock, PA

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Kourtni Prodan, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Braddock, Pennsylvania. Her current practice location is 501 Braddock Ave, Braddock, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (412) 636-5044.

Kourtni Prodan is licensed to practice in Pennsylvania (license number SP022870) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588260574.

Contact Information

Kourtni Prodan, CRNP
501 Braddock Ave,
Braddock, PA 15104-1856
(412) 636-5044
Not Available

Map and Direction




Provider's Profile

Full NameKourtni Prodan
GenderFemale
SpecialityNurse Practitioner - Family
Location501 Braddock Ave, Braddock, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588260574
  • Provider Enumeration Date: 12/07/2020
  • Last Update Date: 10/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123436979
  • Enrollment ID: I20210416000988

Medical Identifiers

Medical identifiers for Kourtni Prodan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588260574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP022870 (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. Kourtni Prodan allows following entities to bill medicare on her behalf.
Entity NameAllegheny Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073081493
PECOS PAC ID: 5395649586
Enrollment ID: O20040310000602
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191216001523

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. Kourtni Prodan 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
Kourtni Prodan, CRNP
510 Clemson Dr,
Pittsburgh, PA 15243-1722

Ph: (309) 256-9076		Kourtni Prodan, CRNP
501 Braddock Ave,
Braddock, PA 15104-1856

Ph: (412) 636-5044

Reviews and Comments


Nurse Practitioner Nurses in Braddock, PA

Sara R Nichols, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Braddock Ave, Braddock, PA 15104
Phone: 412-636-5044    Fax: 412-636-5045
Qamara Luff, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 404 Braddock Ave, Braddock, PA 15104
Phone: 412-351-6300    Fax: 412-351-6500

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.