Ketevan Jorjadze, FNP-C in San Diego, CA - Medicare Nurse Practitioner

Ketevan Jorjadze, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Monica Perlman Md Inc and her current practice location is 3636 Fifth Ave Ste 300, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 814-5500.

Ketevan Jorjadze is licensed to practice in California (license number 95017739) 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 1336737840.

Contact Information

	Ketevan Jorjadze, FNP-C
	3636 Fifth Ave Ste 300, San Diego, CA 92103-4230
	(619) 814-5500
	Not Available

Map and Direction

Provider's Profile

Full Name	Ketevan Jorjadze
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3636 Fifth Ave Ste 300, San Diego, California
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:

Ketevan Jorjadze graduated from nursing school in 2020

NPI Data:

NPI Number: 1336737840
Provider Enumeration Date: 01/10/2021
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5193118537
Enrollment ID: I20220208002382

Medical Identifiers

Medical identifiers for Ketevan Jorjadze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336737840	NPI	-	NPPES
F346697	Other	NY	NYS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F346697 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	95017739 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Monica Perlman Md Inc	8820035884	195

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. Ketevan Jorjadze allows following entities to bill medicare on her behalf.

Entity Name	Monica Perlman Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134309305 PECOS PAC ID: 8820035884 Enrollment ID: O20050411001333

Entity Name	Janette J Gray M D Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609177294 PECOS PAC ID: 8729319850 Enrollment ID: O20191003002746

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. Ketevan Jorjadze 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
Ketevan Jorjadze, FNP-C 3636 5th Ave, Ste 300, San Diego, CA 92103-4230 Ph: (619) 814-5500	Ketevan Jorjadze, FNP-C 3636 Fifth Ave Ste 300, San Diego, CA 92103-4230 Ph: (619) 814-5500

Reviews and Comments

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Ketevan Jorjadze, FNP-C - Medicare Nurse Practitioner in San Diego, CA