Wendy Johanna Colocho, in Roseville, CA - Medicare Nurse Practitioner

Wendy Johanna Colocho, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roseville, California. Her current practice location is 3400 Douglas Blvd Ste 170, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 740-3721.

Wendy Johanna Colocho is licensed to practice in California (license number 95029221) 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 1407625643.

Contact Information

	Wendy Johanna Colocho,
	3400 Douglas Blvd Ste 170, Roseville, CA 95661-4281
	(916) 740-3721
	(562) 605-0098

Map and Direction

Provider's Profile

Full Name	Wendy Johanna Colocho
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3400 Douglas Blvd Ste 170, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407625643
Provider Enumeration Date: 12/29/2023
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2365980208
Enrollment ID: I20240809003526

Medical Identifiers

Medical identifiers for Wendy Johanna Colocho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407625643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95080528 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023086040 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95029221 (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. Wendy Johanna Colocho allows following entities to bill medicare on her behalf.

Entity Name	Telemedicine Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349

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. Wendy Johanna Colocho 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
Wendy Johanna Colocho, 45604 17th St W, Lancaster, CA 93534-5194 Ph: (661) 874-6347	Wendy Johanna Colocho, 3400 Douglas Blvd Ste 170, Roseville, CA 95661-4281 Ph: (916) 740-3721

Reviews and Comments

Nurse Practitioner Nurses in Roseville, CA

Elizabeth Barbara Willerup, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1643 Eureka Rd, Roseville, CA 95661 Phone: 916-771-7627 Fax: 916-771-7650
Marsha J Montbriand, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414
Mrs. Pantea Nosrat Dunn, MSN PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Dr Ste 225, Roseville, CA 95661 Phone: 916-782-1291 Fax: 916-782-5992
Ms. Linda Rose Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Women's Health , Permanente Medical Group, Roseville, CA 95661 Phone: 916-784-5003
Mrs. Marly R Stubbs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 945 Roseville Pkwy, Suite 150, Roseville, CA 95678 Phone: 916-788-8444 Fax: 916-788-8449
Chan Mi Sung, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000
Chelsea Srene Robinson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 959 Reserve Dr, Roseville, CA 95678 Phone: 916-782-8638

Wendy Johanna Colocho, - Medicare Nurse Practitioner in Roseville, CA