Jenny Ta Pettersen, FNP in Oakland, CA - Medicare Nurse Practitioner

Jenny Ta Pettersen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Oakland, California. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Valley Health Corporation and her current practice location is 818 Webster St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 986-6800.

Jenny Ta Pettersen is licensed to practice in California (license number 23448) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780016097.

Contact Information

	Jenny Ta Pettersen, FNP
	818 Webster St, Oakland, CA 94607-4220
	(510) 986-6800
	Not Available

Map and Direction

Provider's Profile

Full Name	Jenny Ta Pettersen
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	818 Webster St, Oakland, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jenny Ta Pettersen graduated from nursing school in 2013

NPI Data:

NPI Number: 1780016097
Provider Enumeration Date: 08/08/2013
Last Update Date: 04/09/2017

Medicare PECOS Information:

PECOS PAC ID: 5991933533
Enrollment ID: I20140106001001

Medical Identifiers

Medical identifiers for Jenny Ta Pettersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780016097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	23448 (California)	Primary
163W00000X	Registered Nurse	757451 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Valley Health Corporation	3173517323	65

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. Jenny Ta Pettersen allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Jenny Ta Pettersen 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
Jenny Ta Pettersen, FNP 818 Webster St, Oakland, CA 94607-4220 Ph: (510) 986-6800	Jenny Ta Pettersen, FNP 818 Webster St, Oakland, CA 94607-4220 Ph: (510) 986-6800

Reviews and Comments

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Jenny Ta Pettersen, FNP - Medicare Nurse Practitioner in Oakland, CA