Jaleela Pettaway, FNP-C - Medicare Nurse Practitioner in Toledo, OH

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Jaleela Pettaway, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Toledo, Ohio. Her current practice location is 2142 N Cove Blvd, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 291-4000.

Jaleela Pettaway is licensed to practice in Ohio (license number 0032388) 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 1275237356.

Contact Information

Jaleela Pettaway, FNP-C
2142 N Cove Blvd,
Toledo, OH 43606-3895
(419) 291-4000
Not Available

Map and Direction




Provider's Profile

Full NameJaleela Pettaway
GenderFemale
SpecialityNurse Practitioner - Family
Location2142 N Cove Blvd, Toledo, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275237356
  • Provider Enumeration Date: 03/30/2023
  • Last Update Date: 03/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678927068
  • Enrollment ID: I20231004001606

Medical Identifiers

Medical identifiers for Jaleela Pettaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275237356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0032388 (Ohio)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. Jaleela Pettaway allows following entities to bill medicare on her behalf.
Entity NameEmergency Physicians Of Northwest Ohio, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043274418
PECOS PAC ID: 3375456478
Enrollment ID: O20031106000006
Entity NameObservation Physicians Of Northwest Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700462967
PECOS PAC ID: 7416365630
Enrollment ID: O20210427002904

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. Jaleela Pettaway 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
Jaleela Pettaway, FNP-C
1679 Park Forest Dr,
Toledo, OH 43614-3361

Ph: (419) 973-4170		Jaleela Pettaway, FNP-C
2142 N Cove Blvd,
Toledo, OH 43606-3895

Ph: (419) 291-4000

Reviews and Comments


Nurse Practitioner Nurses in Toledo, OH

Jennifer Dawn Trost, NP
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Practice Location: 2213 Cherry St, Toledo, OH 43608
Phone: 419-251-4360    Fax: 419-251-5117
Tearra Breeze Obafolahan, APRN
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Practice Location: 6916 Cloister Rd, Toledo, OH 43617
Phone: 567-298-2344    
Rocio Crosby, CNP
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Phone: 419-251-2878    
Lisa Bainter, APRN-NPC
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Medicare: Accepting Medicare Assignments
Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606
Phone: 419-291-7555    Fax: 419-479-2696
Natalie Rae Marienthal, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606
Phone: 419-291-8400    
Karen Caputo, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2142 N Cove Blvd, Toledo, OH 43606
Phone: 419-291-4101    
Michelle Michael, RN
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Medicare: Accepting Medicare Assignments
Practice Location: 3350 Collingwood Blvd, Toledo, OH 43610
Phone: 419-255-9585    

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.