Trisna Gozali, NP-C in Upland, CA - Medicare Nurse Practitioner

Trisna Gozali, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Upland, California. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1113 Alta Ave, Suite 220, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 985-1908.

Trisna Gozali is licensed to practice in California (license number 95002784) 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 1326423922.

Contact Information

	Trisna Gozali, NP-C
	1113 Alta Ave, Suite 220, Upland, CA 91786-2800
	(909) 985-1908
	Not Available

Map and Direction

Provider's Profile

Full Name	Trisna Gozali
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1113 Alta Ave, Upland, 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:

Trisna Gozali graduated from nursing school in 2015

NPI Data:

NPI Number: 1326423922
Provider Enumeration Date: 07/23/2015
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 7315229119
Enrollment ID: I20170130002734

Medical Identifiers

Medical identifiers for Trisna Gozali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326423922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95002784 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Trisna Gozali allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Trisna Gozali 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
Trisna Gozali, NP-C 1113 Alta Ave, Suite 220, Upland, CA 91786-2800 Ph: () -	Trisna Gozali, NP-C 1113 Alta Ave, Suite 220, Upland, CA 91786-2800 Ph: (909) 985-1908

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Mrs. Mina Grasso, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 210, Upland, Upland, CA 91786 Phone: 909-982-1074 Fax: 909-982-3104

Trisna Gozali, NP-C - Medicare Nurse Practitioner in Upland, CA