Jennifer Lynne Detisch, NP in Vista, CA - Medicare Nurse Practitioner

Jennifer Lynne Detisch, NP is a medicare enrolled "Nurse Practitioner - Family" in Vista, California. She went to University Of California, San Francisco School Of Medicine and graduated in 2006 and has 18 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 1000 Vale Terrace Dr, Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 631-5000.

Jennifer Lynne Detisch is licensed to practice in California (license number 16773) 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 1730215534.

Contact Information

	Jennifer Lynne Detisch, NP
	1000 Vale Terrace Dr, Vista, CA 92084-5218
	(760) 631-5000
	(760) 414-3713

Map and Direction

Provider's Profile

Full Name	Jennifer Lynne Detisch
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	1000 Vale Terrace Dr, Vista, 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:

Jennifer Lynne Detisch attended and graduated from University Of California, San Francisco School Of Medicine in 2006

NPI Data:

NPI Number: 1730215534
Provider Enumeration Date: 02/26/2007
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 1557543048
Enrollment ID: I20110304000066

Medical Identifiers

Medical identifiers for Jennifer Lynne Detisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730215534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	16773 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Jennifer Lynne Detisch 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

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. Jennifer Lynne Detisch 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
Jennifer Lynne Detisch, NP 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000	Jennifer Lynne Detisch, NP 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000

Reviews and Comments

Nurse Practitioner Nurses in Vista, CA

Patricia R Holland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713
Miss Lorrie Lee York, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1237 Green Oak Rd, Vista, CA 92081 Phone: 760-598-2803 Fax: 760-598-5347
Ingrid Dekkers-o'hare, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Pamela N Kingery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-407-1220
Gee Yeoun Dugan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Judy Puryear, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, #250, Vista, CA 92083 Phone: 760-724-7171 Fax: 760-941-3986
Rana Safiedine, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 326 S Melrose Dr, Vista, CA 92081 Phone: 760-291-6700

Jennifer Lynne Detisch, NP - Medicare Nurse Practitioner in Vista, CA