Jessica Fennewald, APRN in Camarillo, CA - Medicare Nurse Practitioner

Jessica Fennewald, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Camarillo, California. Her current practice location is 4005 Mission Oaks Blvd Ste A, Camarillo, California. You can reach out to her office (for appointments etc.) via phone at (805) 484-7921.

Jessica Fennewald is licensed to practice in California (license number 95007322) 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 1376856880.

Contact Information

	Jessica Fennewald, APRN
	4005 Mission Oaks Blvd Ste A, Camarillo, CA 93012-5156
	(805) 484-7921
	(816) 478-7140

Map and Direction

Provider's Profile

Full Name	Jessica Fennewald
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4005 Mission Oaks Blvd Ste A, Camarillo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376856880
Provider Enumeration Date: 07/26/2010
Last Update Date: 01/17/2025

Medicare PECOS Information:

PECOS PAC ID: 4981843281
Enrollment ID: I20180222001897

Medical Identifiers

Medical identifiers for Jessica Fennewald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376856880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95007322 (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. Jessica Fennewald allows following entities to bill medicare on her behalf.

Entity Name	Genesis Healthcare Partners Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548567498 PECOS PAC ID: 2163606807 Enrollment ID: O20110405000433

Entity Name	Gastroenterology & Hepatology Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457625931 PECOS PAC ID: 3173784295 Enrollment ID: O20120418000084

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. Jessica Fennewald 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
Jessica Fennewald, APRN 4005 Mission Oaks Blvd Ste A, Camarillo, CA 93012-5156 Ph: (805) 484-7921	Jessica Fennewald, APRN 4005 Mission Oaks Blvd Ste A, Camarillo, CA 93012-5156 Ph: (805) 484-7921

Reviews and Comments

Nurse Practitioner Nurses in Camarillo, CA

Mrs. Brenda Kim Means, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 Las Posas Rd Ste 106, Camarillo, CA 93010 Phone: 805-477-2310
Christina Velasco, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2486 N Ponderosa Dr, Ste D114, Camarillo, CA 93010 Phone: 866-389-2727
Mrs. Marci Jane Spruill, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1722 S Lewis Rd, Camarillo, CA 93012 Phone: 805-445-7837 Fax: 805-445-7830
Ms. Cynthia Marie Fiacco, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5051 Verdugo Way, Suite 110, Camarillo, CA 93012 Phone: 805-384-8071 Fax: 805-987-1927
Carolyn Peyton Wickersham, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Daily Dr Ste 110, Camarillo, CA 93010 Phone: 805-385-9460
Christina C Perez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2620 Las Posas Rd, Camarillo, CA 93010 Phone: 805-889-3188
Mrs. Katie Lee Frederickson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2438 N Ponderosa Dr, C-105, Camarillo, CA 93010 Phone: 805-388-2068 Fax: 805-484-7700

Jessica Fennewald, APRN - Medicare Nurse Practitioner in Camarillo, CA