Stephanie Ann Hetrick, CRNP in Ridgway, PA - Medicare Nurse Practitioner

Stephanie Ann Hetrick, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Ridgway, Pennsylvania. Her current practice location is 43 Servidea Dr, Ridgway, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 776-2145.

Stephanie Ann Hetrick is licensed to practice in Pennsylvania (license number SP029949) 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 1588152938.

Contact Information

	Stephanie Ann Hetrick, CRNP
	43 Servidea Dr, Ridgway, PA 15853-6333
	(814) 776-2145
	(814) 776-0234

Map and Direction

Provider's Profile

Full Name	Stephanie Ann Hetrick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	43 Servidea Dr, Ridgway, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588152938
Provider Enumeration Date: 05/01/2018
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6709326838
Enrollment ID: I20240904002318

Medical Identifiers

Medical identifiers for Stephanie Ann Hetrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588152938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN527339L (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP029949 (Puerto Rico)	Secondary
363LF0000X	Nurse Practitioner - Family	SP029949 (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. Stephanie Ann Hetrick allows following entities to bill medicare on her behalf.

Entity Name	Dickinson Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164503322 PECOS PAC ID: 3870489131 Enrollment ID: O20040224000623

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. Stephanie Ann Hetrick 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
Stephanie Ann Hetrick, CRNP 43 Servidea Dr, Ridgway, PA 15853-6333 Ph: (814) 776-2145	Stephanie Ann Hetrick, CRNP 43 Servidea Dr, Ridgway, PA 15853-6333 Ph: (814) 776-2145

Reviews and Comments

Nurse Practitioner Nurses in Ridgway, PA

Katie Elizabeth Kerr, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-772-8122 Fax: 814-772-7278
Emily Rae Brazinski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Ave, Ridgway, PA 15853 Phone: 814-371-1900
Mr. Nils Paul Magnusson, FNP-C PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Servidea Dr, Ridgway, PA 15853 Phone: 814-776-2145 Fax: 814-776-1470
Kimberly Marie Will, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Gillis Ave Unit 6, Ridgway, PA 15853 Phone: 814-772-5741
Kelly Lee Myers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Ridgmont Dr Ste 1, Ridgway, PA 15853 Phone: 814-245-2119 Fax: 814-245-2122

Stephanie Ann Hetrick, CRNP - Medicare Nurse Practitioner in Ridgway, PA