Valerie K Petty, in Santa Clara, CA - Medicare Nurse Anesthetist, Certified Registered

Valerie K Petty, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Clara, California. Her current practice location is 710 Lawrence Expy, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (559) 448-4500.

Valerie K Petty is licensed to practice in California (license number RN571707) 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 1104096296.

Contact Information

	Valerie K Petty,
	710 Lawrence Expy, Santa Clara, CA 95051-5173
	(559) 448-4500
	Not Available

Map and Direction

Provider's Profile

Full Name	Valerie K Petty
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	710 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104096296
Provider Enumeration Date: 03/05/2008
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5395824510
Enrollment ID: I20080429000884

Medical Identifiers

Medical identifiers for Valerie K Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104096296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN571707 (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. Valerie K Petty 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. Valerie K Petty 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
Valerie K Petty, 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (559) 448-4500	Valerie K Petty, 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (559) 448-4500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Santa Clara, CA

Amanda Lynn Rae, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 410-591-3500
Miss Patricia Marie Melia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-231-7371
Ms. Sheau-ying Ding, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Sydnie Dong, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Ms. Karen Dianne Scates, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-236-5742
Mrs. Mary Jane Ngee Leung, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-5530

Valerie K Petty, - Medicare Nurse Anesthetist, Certified Registered in Santa Clara, CA