Jaqueline Alexis Gorodetsky, - Nurse Practitioner in Oak Park, CA

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Jaqueline Alexis Gorodetsky, is a Nurse Practitioner - Psychiatric/mental Health based in Oak Park, California. Jaqueline Alexis Gorodetsky is licensed to practice in California (license number 95027727) and her current practice location is 499 Pesaro St, Oak Park, California. She can be reached at her office (for appointments etc.) via phone at (323) 842-6860.

NPI number for Jaqueline Alexis Gorodetsky is 1619730660 and her current mailing address is 499 Pesaro St, Oak Park, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619730660.

Contact Information

Jaqueline Alexis Gorodetsky,
499 Pesaro St,
Oak Park, CA 91377-4838
(323) 842-6860
Not Available

Map and Direction




Provider's Profile

Full NameJaqueline Alexis Gorodetsky
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location499 Pesaro St, Oak Park, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619730660
  • Provider Enumeration Date: 02/02/2024
  • Last Update Date: 02/02/2024

Medical Identifiers

Medical identifiers for Jaqueline Alexis Gorodetsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619730660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95027727 (California)Primary

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. Jaqueline Alexis Gorodetsky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaqueline Alexis Gorodetsky,
499 Pesaro St,
Oak Park, CA 91377-4838

Ph: () -		Jaqueline Alexis Gorodetsky,
499 Pesaro St,
Oak Park, CA 91377-4838

Ph: (323) 842-6860

Reviews and Comments


Nurse Practitioner Nurses in Oak Park, CA

Ms. Lori Beth Friedman, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6017 Alexandra Ct, Oak Park, CA 91377
Phone: 818-917-1783    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.