Annie Rose Palmer, NP in Berkeley, CA - Medicare Nurse Practitioner

Annie Rose Palmer, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berkeley, California. Her current practice location is 2640 Martin Luther King Jr Way, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 981-5290.

Annie Rose Palmer is licensed to practice in California (license number 21227) 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 1083169064.

Contact Information

	Annie Rose Palmer, NP
	2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238
	(510) 981-5290
	(510) 981-5265

Map and Direction

Provider's Profile

Full Name	Annie Rose Palmer
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2640 Martin Luther King Jr Way, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083169064
Provider Enumeration Date: 08/19/2016
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1355622929
Enrollment ID: I20161220001571

Medical Identifiers

Medical identifiers for Annie Rose Palmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083169064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21227 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	21227 (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. Annie Rose Palmer allows following entities to bill medicare on her behalf.

Entity Name	Felton Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144551581 PECOS PAC ID: 7719025550 Enrollment ID: O20091116000112

Entity Name	By The Bay Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255381547 PECOS PAC ID: 4587638325 Enrollment ID: O20100615000148

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. Annie Rose Palmer 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
Annie Rose Palmer, NP 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 Ph: (510) 981-5290	Annie Rose Palmer, NP 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 Ph: (510) 981-5290

Reviews and Comments

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Annie Rose Palmer, NP - Medicare Nurse Practitioner in Berkeley, CA