Mrs Lanette Gresham, RN, BSN, MSN, FNP-BC in Fairfield, CA

Mrs Lanette Gresham, RN, BSN, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fairfield, California. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 4918 Ridgefield Cir, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 290-3048.

Mrs Lanette Gresham is licensed to practice in California (license number 2013017795) 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 1346669074.

Contact Information

	Mrs Lanette Gresham, RN, BSN, MSN, FNP-BC
	4918 Ridgefield Cir, Fairfield, CA 94534-6432
	(707) 290-3048
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lanette Gresham
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	4918 Ridgefield Cir, Fairfield, 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:

Mrs Lanette Gresham graduated from nursing school in 2013

NPI Data:

NPI Number: 1346669074
Provider Enumeration Date: 04/09/2014
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7416271127
Enrollment ID: I20150128000465

Medical Identifiers

Medical identifiers for Mrs Lanette Gresham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346669074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2013017795 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Mrs Lanette Gresham allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mrs Lanette Gresham 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
Mrs Lanette Gresham, RN, BSN, MSN, FNP-BC 4918 Ridgefield Cir, Fairfield, CA 94534-6432 Ph: (707) 290-3048	Mrs Lanette Gresham, RN, BSN, MSN, FNP-BC 4918 Ridgefield Cir, Fairfield, CA 94534-6432 Ph: (707) 290-3048

Reviews and Comments

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Mrs Lanette Gresham, RN, BSN, MSN, FNP-BC - Medicare Nurse Practitioner in Fairfield, CA