Nicole Kathleen Govannicci, CRNP in Fort Washington, PA

Nicole Kathleen Govannicci, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Washington, Pennsylvania. Her current practice location is 1244 Fort Washington Ave Ste E2, Fort Washington, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 646-1686.

Nicole Kathleen Govannicci is licensed to practice in Pennsylvania (license number SP026709) 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 1891407409.

Contact Information

	Nicole Kathleen Govannicci, CRNP
	1244 Fort Washington Ave Ste E2, Fort Washington, PA 19034-1743
	(215) 646-1686
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Kathleen Govannicci
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1244 Fort Washington Ave Ste E2, Fort Washington, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891407409
Provider Enumeration Date: 12/15/2022
Last Update Date: 02/23/2025

Medicare PECOS Information:

PECOS PAC ID: 0042673253
Enrollment ID: I20230905002987

Medical Identifiers

Medical identifiers for Nicole Kathleen Govannicci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891407409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP026709 (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. Nicole Kathleen Govannicci allows following entities to bill medicare on her behalf.

Entity Name	Family Practice Associates Of Upper Dublin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811921166 PECOS PAC ID: 1850376211 Enrollment ID: O20040621000613

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. Nicole Kathleen Govannicci 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
Nicole Kathleen Govannicci, CRNP 2645 Kirk Ave, Broomall, PA 19008-1915 Ph: (610) 787-2801	Nicole Kathleen Govannicci, CRNP 1244 Fort Washington Ave Ste E2, Fort Washington, PA 19034-1743 Ph: (215) 646-1686

Reviews and Comments

Nurse Practitioner Nurses in Fort Washington, PA

Allison Fair, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Commerce Dr, Fort Washington, PA 19034 Phone: 215-906-0392 Fax: 215-906-0392
Melissa Brubaker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Commerce Dr # 301, Fort Washington, PA 19034 Phone: 484-759-8611 Fax: 445-201-3851
Ms. Amy Houston Mullis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Office Center Dr Bldg 600, Fort Washington, PA 19034 Phone: 717-316-2163 Fax: 570-271-6578
Eileen Levin Goldberg, APRN, GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Pennsylvania Ave Ste 105, Fort Washington, PA 19034 Phone: 215-793-4546 Fax: 215-793-9007
Deborah Pestrak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1244 Fort Washington Ave, Suite E2, Fort Washington, PA 19034 Phone: 215-646-1686 Fax: 215-628-4956
Joyce Ennis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Pennsylvania Ave Ste 260, Fort Washington, PA 19034 Phone: 215-793-4546 Fax: 215-793-9007
Konstantin Tetelman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7170 Lafayette Ave, Fort Washington, PA 19034 Phone: 215-641-5300

Nicole Kathleen Govannicci, CRNP - Medicare Nurse Practitioner in Fort Washington, PA