Mrs Stephanie Christine Mallgrave, CRNP in Philadelphia, PA

Mrs Stephanie Christine Mallgrave, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of New Jersey Llc and her current practice location is 1500 Spruce St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Stephanie Christine Mallgrave is licensed to practice in Pennsylvania (license number SP016144) 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 1104280312.

Contact Information

	Mrs Stephanie Christine Mallgrave, CRNP
	1500 Spruce St, Philadelphia, PA 19102-4502
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Christine Mallgrave
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1500 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Stephanie Christine Mallgrave graduated from nursing school in 2015

NPI Data:

NPI Number: 1104280312
Provider Enumeration Date: 04/13/2016
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 8820388457
Enrollment ID: I20160609001039

Medical Identifiers

Medical identifiers for Mrs Stephanie Christine Mallgrave such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104280312	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00627600 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	SP016144 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Diagnostic Of New Jersey Llc	8527142439	117

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. Mrs Stephanie Christine Mallgrave allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382

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. Mrs Stephanie Christine Mallgrave 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
Mrs Stephanie Christine Mallgrave, CRNP 1500 Spruce St, Philadelphia, PA 19102-4502 Ph: (866) 389-2727	Mrs Stephanie Christine Mallgrave, CRNP 1500 Spruce St, Philadelphia, PA 19102-4502 Ph: (866) 389-2727

Reviews and Comments

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Mrs Stephanie Christine Mallgrave, CRNP - Medicare Nurse Practitioner in Philadelphia, PA