Renee Wynn, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Renee Wynn, CRNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Philadelphia, Pennsylvania. Her current practice location is 5401 Old York Rd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 456-8220.

Renee Wynn is licensed to practice in Pennsylvania (license number SP021240) 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 1053930958.

Contact Information

	Renee Wynn, CRNP
	5401 Old York Rd, Philadelphia, PA 19141-3030
	(215) 456-8220
	Not Available

Map and Direction

Provider's Profile

Full Name	Renee Wynn
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	5401 Old York Rd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053930958
Provider Enumeration Date: 04/10/2020
Last Update Date: 04/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9931539384
Enrollment ID: I20200427000364

Medical Identifiers

Medical identifiers for Renee Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053930958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	SP021240 (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. Renee Wynn allows following entities to bill medicare on her behalf.

Entity Name	Einstein Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Renee Wynn 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
Renee Wynn, CRNP 6912 Chester Ave, Philadelphia, PA 19142-1209 Ph: () -	Renee Wynn, CRNP 5401 Old York Rd, Philadelphia, PA 19141-3030 Ph: (215) 456-8220

Reviews and Comments

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Renee Wynn, CRNP - Medicare Nurse Practitioner in Philadelphia, PA