Loretta Ancellotti, FNP in Lakeport, CA - Medicare Nurse Practitioner

Loretta Ancellotti, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Lakeport, California. Her current practice location is 487 S Main St, Suite 122, Lakeport, California. You can reach out to her office (for appointments etc.) via phone at (707) 263-4360.

Loretta Ancellotti is licensed to practice in California (license number 15237) 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 1386820322.

Contact Information

	Loretta Ancellotti, FNP
	487 S Main St, Suite 122, Lakeport, CA 95453-5315
	(707) 263-4360
	(707) 463-4036

Map and Direction

Provider's Profile

Full Name	Loretta Ancellotti
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	487 S Main St, Lakeport, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386820322
Provider Enumeration Date: 01/19/2008
Last Update Date: 11/16/2011

Medicare PECOS Information:

PECOS PAC ID: 8527026897
Enrollment ID: I20140331001774

Medical Identifiers

Medical identifiers for Loretta Ancellotti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386820322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	15237 (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. Loretta Ancellotti allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

Entity Name	Consolidated Tribal Health Project, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003826009 PECOS PAC ID: 1456260736 Enrollment ID: O20050714000893

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. Loretta Ancellotti 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
Loretta Ancellotti, FNP 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4533 Ph: (707) 463-8000	Loretta Ancellotti, FNP 487 S Main St, Suite 122, Lakeport, CA 95453-5315 Ph: (707) 263-4360

Reviews and Comments

Nurse Practitioner Nurses in Lakeport, CA

Shaye Larie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382
Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844
Charissa M Barsos, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019
Ms. Patricia Lynn Sanders, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd East, Lakeport, CA 95453 Phone: 707-262-5088 Fax: 707-262-5135
Ellen Marie Boersma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E, #f, Lakeport, CA 95453 Phone: 707-262-3060
Naah N/a Allotey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 487 S Main St, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-253-4036
Florencia Karina Miranda Chumpitaz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-513-6002

Loretta Ancellotti, FNP - Medicare Nurse Practitioner in Lakeport, CA