Hannah Lynn Petrenko, MSN, RN, FNP-C in Anaheim, CA

Hannah Lynn Petrenko, MSN, RN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Anaheim, California. Her current practice location is 801 N Harbor Blvd, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 774-7500.

Hannah Lynn Petrenko is licensed to practice in California (license number 95021992) 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 1457027211.

Contact Information

	Hannah Lynn Petrenko, MSN, RN, FNP-C
	801 N Harbor Blvd, Anaheim, CA 92805-1810
	(714) 774-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Hannah Lynn Petrenko
Gender	Female
Speciality	Nurse Practitioner - Family
Location	801 N Harbor Blvd, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457027211
Provider Enumeration Date: 08/20/2021
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 9638547524
Enrollment ID: I20221128000949

Medical Identifiers

Medical identifiers for Hannah Lynn Petrenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457027211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95021992 (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. Hannah Lynn Petrenko allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285795773 PECOS PAC ID: 6709798093 Enrollment ID: O20031104000675

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. Hannah Lynn Petrenko 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
Hannah Lynn Petrenko, MSN, RN, FNP-C 801 N Harbor Blvd, Anaheim, CA 92805-1810 Ph: (714) 774-7500	Hannah Lynn Petrenko, MSN, RN, FNP-C 801 N Harbor Blvd, Anaheim, CA 92805-1810 Ph: (714) 774-7500

Reviews and Comments

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Hannah Lynn Petrenko, MSN, RN, FNP-C - Medicare Nurse Practitioner in Anaheim, CA