Whitney Supernavage, APN in Glassboro, NJ - Medicare Nurse Practitioner

Whitney Supernavage, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glassboro, New Jersey. Her current practice location is 42 Delsea Dr S, Glassboro, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 863-0006.

Whitney Supernavage is licensed to practice in New Jersey (license number 25NJ00645300) 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 1548610546.

Contact Information

	Whitney Supernavage, APN
	42 Delsea Dr S, Glassboro, NJ 08028-2621
	(856) 863-0006
	(856) 881-7614

Map and Direction

Provider's Profile

Full Name	Whitney Supernavage
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	42 Delsea Dr S, Glassboro, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548610546
Provider Enumeration Date: 06/21/2016
Last Update Date: 06/13/2017

Medicare PECOS Information:

PECOS PAC ID: 2860760220
Enrollment ID: I20170608000668

Medical Identifiers

Medical identifiers for Whitney Supernavage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548610546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	25NJ00645300 (New Jersey)	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. Whitney Supernavage allows following entities to bill medicare on her behalf.

Entity Name	Complete Care Of South Jersey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518320555 PECOS PAC ID: 8820389257 Enrollment ID: O20160615001232

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. Whitney Supernavage 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
Whitney Supernavage, APN 42 Delsea Dr S, Glassboro, NJ 08028-2621 Ph: (856) 863-0006	Whitney Supernavage, APN 42 Delsea Dr S, Glassboro, NJ 08028-2621 Ph: (856) 863-0006

Reviews and Comments

Nurse Practitioner Nurses in Glassboro, NJ

Donna Gibson, RN, APNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 N Main St, Glassboro, NJ 08028 Phone: 888-794-1235
Mrs. Marilyn J Lindenmuth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 N Main St, Glassboro, NJ 08028 Phone: 856-881-9531 Fax: 856-863-2816
Mrs. Rachel Russell, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42 Delsea Dr S, Glassboro, NJ 08028 Phone: 844-422-3632
Edena Walden, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 High St E Apt N262, Glassboro, NJ 08028 Phone: 856-562-0589
Roni Feldman, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12 Devonshire Dr, Glassboro, NJ 08028 Phone: 609-617-1377
Shipra Prasad, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 715 Delsea Dr N, Glassboro, NJ 08028 Phone: 856-863-5720
Mrs. Kellie M Cervini, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1125 Delsea Dr N, Glassboro, NJ 08028 Phone: 856-218-7600 Fax: 856-218-7800

Whitney Supernavage, APN - Medicare Nurse Practitioner in Glassboro, NJ