Mary Theresa Palovcak, DNP CRNP in Bala Cynwyd, PA

Mary Theresa Palovcak, DNP CRNP is a medicare enrolled "Nurse Practitioner - Family" in Bala Cynwyd, Pennsylvania. Her current practice location is 225 E City Ave Ste 10, Bala Cynwyd, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 503-8300.

Mary Theresa Palovcak is licensed to practice in Pennsylvania (license number SP014263) 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 1699170787.

Contact Information

	Mary Theresa Palovcak, DNP CRNP
	225 E City Ave Ste 10, Bala Cynwyd, PA 19004-1724
	(215) 503-8300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Theresa Palovcak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	225 E City Ave Ste 10, Bala Cynwyd, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699170787
Provider Enumeration Date: 10/31/2014
Last Update Date: 05/18/2026

Medicare PECOS Information:

PECOS PAC ID: 1355349614
Enrollment ID: I20141209001136

Medical Identifiers

Medical identifiers for Mary Theresa Palovcak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699170787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00923500 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	SP014263 (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. Mary Theresa Palovcak allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881738037 PECOS PAC ID: 5395827307 Enrollment ID: O20080130000250

Entity Name	Jefferson Acute Care Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730571324 PECOS PAC ID: 7810215613 Enrollment ID: O20150407001063

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. Mary Theresa Palovcak 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
Mary Theresa Palovcak, DNP CRNP 225 E City Ave Ste 10, Bala Cynwyd, PA 19004-1724 Ph: (215) 503-8300	Mary Theresa Palovcak, DNP CRNP 225 E City Ave Ste 10, Bala Cynwyd, PA 19004-1724 Ph: (215) 503-8300

Reviews and Comments

Nurse Practitioner Nurses in Bala Cynwyd, PA

Catherine Kazanjian, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 Phone: 610-668-9999
Christina Morgan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Rock Hill Rd Ste 100, Bala Cynwyd, PA 19004 Phone: 215-847-6749
Jeanine Dunmore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004 Phone: 610-617-1300 Fax: 610-617-0199
Brandeis Brockman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 610-668-8300
Melissa Brubaker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Presidential Blvd Ste W3, Bala Cynwyd, PA 19004 Phone: 215-550-1614 Fax: 445-201-3851
Kelly A Peszko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004 Phone: 610-668-9999
Angela G Houck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004 Phone: 610-747-3400 Fax: 610-617-2481

Mary Theresa Palovcak, DNP CRNP - Medicare Nurse Practitioner in Bala Cynwyd, PA