Jetta Valle, MSN, PMHNP-BC, FNP-B is a medicare enrolled "Family Medicine - Addiction Medicine" in Mesa, Arizona. Her current practice location is
1705 W Main St, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(877) 809-5092.
Jetta Valle is licensed to practice in Arizona (license number AP10652) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720336910.
Provider's Profile
| Full Name | Jetta Valle |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1705 W Main St, Mesa, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jetta Valle attended and graduated from in
NPI Data:
- NPI Number: 1720336910
- Provider Enumeration Date: 08/21/2012
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jetta Valle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720336910 | NPI | - | NPPES |
| 204924 | Medicaid | AZ | |
| 7100218950 | Medicaid | KY | |
| 3810025120 | Medicaid | WV | |
| 0072341 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 66001 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3007628 (Kentucky) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | AP10652 (Arizona) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | AP10652 (Arizona) | Primary |
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. Jetta Valle 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 |
|---|
Jetta Valle, MSN, PMHNP-BC, FNP-B
3033 N Central Ave Ste 145,
Phoenix, AZ 85012-2808
Ph: (623) 583-3001 | Jetta Valle, MSN, PMHNP-BC, FNP-B
1705 W Main St,
Mesa, AZ 85201
Ph: (877) 809-5092 |
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