Gisselle E Suazo, - Medicare Nurse Practitioner in Petaluma, CA

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Gisselle E Suazo, is a medicare enrolled "Nurse Practitioner - Family" in Petaluma, California. Her current practice location is 1179 N Mcdowell Blvd, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 559-7617.

Gisselle E Suazo is licensed to practice in California (license number 95011197) 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 1124586755.

Contact Information

Gisselle E Suazo,
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559
(707) 559-7617
(707) 559-7620

Map and Direction




Provider's Profile

Full NameGisselle E Suazo
GenderFemale
SpecialityNurse Practitioner - Family
Location1179 N Mcdowell Blvd, Petaluma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124586755
  • Provider Enumeration Date: 03/02/2019
  • Last Update Date: 08/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870836521
  • Enrollment ID: I20190520002709

Medical Identifiers

Medical identifiers for Gisselle E Suazo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124586755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95011197 (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. Gisselle E Suazo allows following entities to bill medicare on her behalf.
Entity NameLa Clinica De La Raza Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144336181
PECOS PAC ID: 1557258282
Enrollment ID: O20040227001016
Entity NamePetaluma Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588656268
PECOS PAC ID: 9133180375
Enrollment ID: O20050315000415

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. Gisselle E Suazo 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 AddressPractice Location Address
Gisselle E Suazo,
2185 Pacheco St,
Concord, CA 94520-2309

Ph: (925) 676-0505		Gisselle E Suazo,
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559

Ph: (707) 559-7617

Reviews and Comments


Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 599 Tomales Rd., Petaluma, CA 94952
Phone: 707-765-7205    
Jessica Flinders, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954
Phone: 707-782-9123    Fax: 707-782-9622
Sherin Ann Chakkalakel, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954
Phone: 707-763-0802    
Dahae Hwang,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    
Andrew K Chinnock, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-776-8066    
Stephanie M Treece,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    Fax: 707-559-7620

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.