Jodi A Dettman, CNP in Edgewood, NM - Medicare Nurse Practitioner

Jodi A Dettman, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Edgewood, New Mexico. She graduated from nursing school in 2006 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Zia Primary Care Llc and her current practice location is 104 Quail Trl Unit B, Edgewood, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 208-0204.

Jodi A Dettman is licensed to practice in New Mexico (license number CNP01152) 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 1720269178.

Contact Information

	Jodi A Dettman, CNP
	104 Quail Trl Unit B, Edgewood, NM 87015-7185
	(505) 208-0204
	Not Available

Map and Direction

Provider's Profile

Full Name	Jodi A Dettman
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	104 Quail Trl Unit B, Edgewood, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jodi A Dettman graduated from nursing school in 2006

NPI Data:

NPI Number: 1720269178
Provider Enumeration Date: 11/14/2007
Last Update Date: 05/04/2018

Medicare PECOS Information:

PECOS PAC ID: 4082791702
Enrollment ID: I20080404000716

Medical Identifiers

Medical identifiers for Jodi A Dettman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720269178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	CNP01152 (New Mexico)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Zia Primary Care Llc	6103290606	2

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. Jodi A Dettman allows following entities to bill medicare on her behalf.

Entity Name	Zia Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831802230 PECOS PAC ID: 6103290606 Enrollment ID: O20230324000241

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. Jodi A Dettman 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
Jodi A Dettman, CNP 104 Quail Trl Unit B, Edgewood, NM 87015-7185 Ph: (505) 208-0204	Jodi A Dettman, CNP 104 Quail Trl Unit B, Edgewood, NM 87015-7185 Ph: (505) 208-0204

Reviews and Comments

Nurse Practitioner Nurses in Edgewood, NM

Nathan Duane Cogburn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406
Vivienne Prinz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Unit B, Edgewood, NM 87015 Phone: 505-208-0204
Thu Thanh Nguyen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trail, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 Fax: 505-717-2884
Mary Ann Crow, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204
Tracy J. Graff, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: --
Cierra Dorado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204
Chelsey Ann Weinbrecht, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Square H Rd, Edgewood, NM 87015 Phone: 505-363-1884

Jodi A Dettman, CNP - Medicare Nurse Practitioner in Edgewood, NM