Dr Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC in San Bernardino, CA

Dr Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Bernardino, California. Her current practice location is 250 S G St, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 382-7100.

Dr Karin Cecilia Ulltjaern is licensed to practice in California (license number 95012710) 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 1104467190.

Contact Information

	Dr Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC
	250 S G St, San Bernardino, CA 92410-3320
	(909) 382-7100
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Karin Cecilia Ulltjaern
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	250 S G St, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104467190
Provider Enumeration Date: 10/01/2019
Last Update Date: 10/01/2019

Medicare PECOS Information:

PECOS PAC ID: 6305232422
Enrollment ID: I20220329002470

Medical Identifiers

Medical identifiers for Dr Karin Cecilia Ulltjaern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104467190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95012710 (California)	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. Dr Karin Cecilia Ulltjaern allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Dr Karin Cecilia Ulltjaern 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
Dr Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC 1498 Brookside Ave Apt 114, Redlands, CA 92373-4448 Ph: (360) 890-9165	Dr Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC 250 S G St, San Bernardino, CA 92410-3320 Ph: (909) 382-7100

Reviews and Comments

Nurse Practitioner Nurses in San Bernardino, CA

Ms. Mariana Concepcion Moualem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411 Phone: 909-880-9993 Fax: 909-880-9998
Brenda Jean Boyle, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7103
Mrs. Jocelyn Ellen Seitz-keough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-0988
Laura Elise Hiday, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-382-3535
Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407 Phone: 951-283-9861
Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677

Dr Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC - Medicare Nurse Practitioner in San Bernardino, CA