Nino Kavtaradze, CRNP in Feasterville Trevose, PA

Nino Kavtaradze, CRNP is a medicare enrolled "Nurse Practitioner" in Feasterville Trevose, Pennsylvania. Her current practice location is 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 574-5236.

Nino Kavtaradze is licensed to practice in Pennsylvania (license number SP015632) 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 1639574841.

Contact Information

	Nino Kavtaradze, CRNP
	1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118
	(267) 574-5236
	Not Available

Map and Direction

Provider's Profile

Full Name	Nino Kavtaradze
Gender	Female
Speciality	Nurse Practitioner
Location	1200 Bustleton Pike Ste 16a3, Feasterville Trevose, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639574841
Provider Enumeration Date: 10/30/2014
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1355668567
Enrollment ID: I20250530002295

Medical Identifiers

Medical identifiers for Nino Kavtaradze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639574841	NPI	-	NPPES
1032670520017	Medicaid	PA
SP015632	Other	PA	PENNSYLVANIA DEPARTMENT OF STATE
RN632493	Other	PA	PENNSYLVANIA DEPARTMENT OF STATE
33402683	Other		AMERICAN NURSES CREDENTIALING CENTER (ANCC)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN632493 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP015632 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	SP015632 (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. Nino Kavtaradze allows following entities to bill medicare on her behalf.

Entity Name	Infinite Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20200407002099

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. Nino Kavtaradze 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
Nino Kavtaradze, CRNP 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118 Ph: (267) 223-7738	Nino Kavtaradze, CRNP 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118 Ph: (267) 574-5236

Reviews and Comments

Nurse Practitioner Nurses in Feasterville Trevose, PA

Miss Erin Elizabeth Arbosheski, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 161 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-605-3201
Mercy M Abraham, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 157 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-322-0222
Mrs. Anu Benny Vergis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 W Street Rd, Feasterville Trevose, PA 19053 Phone: 215-710-6490
Diana Rose Bailey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 157 Bustleton Pike # 161, Feasterville Trevose, PA 19053 Phone: 215-322-0222
Miss Kathleen Teresa Murray, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1829 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-364-8412 Fax: 215-364-8633
Phuong Dung Ngo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1665 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-355-9770
Elena Zoftis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-436-1420

Nino Kavtaradze, CRNP - Medicare Nurse Practitioner in Feasterville Trevose, PA