Ms Anne Marie Pettibone, CRNA in Vallejo, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Anne Marie Pettibone, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vallejo, California. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Permanente Medical Group Inc and her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 651-4742.

Ms Anne Marie Pettibone is licensed to practice in California (license number 3322) 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 1063576080.

Contact Information

	Ms Anne Marie Pettibone, CRNA
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-4742
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Anne Marie Pettibone
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	975 Sereno Dr, Vallejo, 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:

Ms Anne Marie Pettibone graduated from nursing school in 2005

NPI Data:

NPI Number: 1063576080
Provider Enumeration Date: 12/21/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5193733723
Enrollment ID: I20060323000502

Medical Identifiers

Medical identifiers for Ms Anne Marie Pettibone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063576080	NPI	-	NPPES
RN4506780	Other	CA	MEDI-CAL RENDERING NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3322 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Vacaville	Vacaville, CA	Hospital

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. Ms Anne Marie Pettibone 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. Ms Anne Marie Pettibone 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
Ms Anne Marie Pettibone, CRNA 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: () -	Ms Anne Marie Pettibone, CRNA 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-4742

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Vallejo, CA

Sarah Elizabeth Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Tina Hwa Cheng, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4742
Mr. Jhonnard James Acuna, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5622
John Micheal Pearlman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Supreet Kaur, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Marta Hammond Ashby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3884 Fax: 707-651-2045

Ms Anne Marie Pettibone, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Vallejo, CA