Michael Anthony Ditore, PMH-NP in Philadelphia, PA

Michael Anthony Ditore, PMH-NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. He went to Drexel University College Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Mind And Body Consortium, Llc., Prospect Health Access Network Inc and his current practice location is 537 E Allegheny Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 921-9500.

Michael Anthony Ditore is licensed to practice in Pennsylvania (license number SP030531) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104535749.

Contact Information

	Michael Anthony Ditore, PMH-NP
	537 E Allegheny Ave, Philadelphia, PA 19134-2328
	(215) 921-9500
	(215) 291-1881

Map and Direction

Provider's Profile

Full Name	Michael Anthony Ditore
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	537 E Allegheny Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Anthony Ditore attended and graduated from Drexel University College Of Medicine in 2022

NPI Data:

NPI Number: 1104535749
Provider Enumeration Date: 11/22/2022
Last Update Date: 02/24/2026

Medicare PECOS Information:

PECOS PAC ID: 5698133940
Enrollment ID: I20230620001459

Medical Identifiers

Medical identifiers for Michael Anthony Ditore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104535749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0010367 (Delaware)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP030531 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Mind And Body Consortium, Llc.	9739234014	18
Prospect Health Access Network Inc	5698065142	168

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. Michael Anthony Ditore allows following entities to bill medicare on his behalf.

Entity Name	The Mind And Body Consortium, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316186539 PECOS PAC ID: 9739234014 Enrollment ID: O20090910000340

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. Michael Anthony Ditore 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
Michael Anthony Ditore, PMH-NP 160 Turners Pond Dr, Lincoln University, PA 19352-1757 Ph: (302) 668-9584	Michael Anthony Ditore, PMH-NP 537 E Allegheny Ave, Philadelphia, PA 19134-2328 Ph: (215) 921-9500

Reviews and Comments

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Michael Anthony Ditore, PMH-NP - Medicare Nurse Practitioner in Philadelphia, PA