Keleigh Jefferson, PMHNP-BC in Riverside, CA - Medicare Nurse Practitioner

Keleigh Jefferson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverside, California. Her current practice location is 4960 Arlington Ave, Suite B, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 341-8930.

Keleigh Jefferson is licensed to practice in California (license number NPF95004734) 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 1609298926.

Contact Information

	Keleigh Jefferson, PMHNP-BC
	4960 Arlington Ave, Suite B, Riverside, CA 92504-2738
	(951) 341-8930
	Not Available

Map and Direction

Provider's Profile

Full Name	Keleigh Jefferson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4960 Arlington Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609298926
Provider Enumeration Date: 01/07/2014
Last Update Date: 03/30/2022

Medicare PECOS Information:

PECOS PAC ID: 6204215890
Enrollment ID: I20220628003180

Medical Identifiers

Medical identifiers for Keleigh Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609298926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN75581 (Nevada)	Secondary
163W00000X	Registered Nurse	817389 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NPF95004734 (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. Keleigh Jefferson allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20220404000301

Entity Name	Thriveworks Clinical - California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801481395 PECOS PAC ID: 1759785645 Enrollment ID: O20220421000008

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. Keleigh Jefferson 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
Keleigh Jefferson, PMHNP-BC Po Box 5109, Riverside, CA 92517-5109 Ph: (951) 341-8935	Keleigh Jefferson, PMHNP-BC 4960 Arlington Ave, Suite B, Riverside, CA 92504-2738 Ph: (951) 341-8930

Reviews and Comments

Nurse Practitioner Nurses in Riverside, CA

Alice Chinyere Echeta, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504 Phone: 951-341-8930
Obianuju Rivera, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501 Phone: 855-427-2778 Fax: 951-530-3997
Luamy Gabriela Cornejo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501 Phone: 951-684-1293
Christine Pham Duong, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503 Phone: 951-324-5901 Fax: 877-778-9472
Namrata Nicole Sihotang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508 Phone: 844-827-8000
Helen Landayan Lo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7140 Indiana Avenue, Riverside, CA 92503 Phone: 951-358-6037
Rebecca J Seawell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000

Keleigh Jefferson, PMHNP-BC - Medicare Nurse Practitioner in Riverside, CA