Chester G Profeta, BSN, MSN in Petoskey, MI - Medicare Nurse Practitioner

Chester G Profeta, BSN, MSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Petoskey, Michigan. His current practice location is 1260 Ajijaak Ave, Petoskey, Michigan. You can reach out to his office (for appointments etc.) via phone at (714) 588-6659.

Chester G Profeta is licensed to practice in Michigan (license number 4704420286) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548953458.

Contact Information

	Chester G Profeta, BSN, MSN
	1260 Ajijaak Ave, Petoskey, MI 49770-8330
	(714) 588-6659
	(231) 242-1700

Map and Direction

Provider's Profile

Full Name	Chester G Profeta
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1260 Ajijaak Ave, Petoskey, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548953458
Provider Enumeration Date: 05/29/2023
Last Update Date: 11/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1254856891
Enrollment ID: I20250416002594

Medical Identifiers

Medical identifiers for Chester G Profeta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548953458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	846065 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704420286 (Michigan)	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. Chester G Profeta allows following entities to bill medicare on his behalf.

Entity Name	Little Traverse Bay Bands Of Odawa Indians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124052816 PECOS PAC ID: 8820995368 Enrollment ID: O20110916000317

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. Chester G Profeta 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
Chester G Profeta, BSN, MSN 2571 Skylark Dr, San Jose, CA 95125-2942 Ph: (714) 588-6599	Chester G Profeta, BSN, MSN 1260 Ajijaak Ave, Petoskey, MI 49770-8330 Ph: (714) 588-6659

Reviews and Comments

Nurse Practitioner Nurses in Petoskey, MI

Timothy Robert La Gasse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4520
Keely Marie Blosh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4000 Fax: 231-547-3424
Casandra Jane Newland, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770 Phone: 231-487-2490
Kristi Lynn Dipzinski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-5965
Jason Moyns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 560, Petoskey, MI 49770 Phone: 231-487-5400
Mrs. Kristie Lyn Haalck, AGAC-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 W Mitchell St Ste 125, Petoskey, MI 49770 Phone: 231-487-4029
Marisa Pilarski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 W Mitchell St, Petoskey, MI 49770 Phone: 586-531-0453

Chester G Profeta, BSN, MSN - Medicare Nurse Practitioner in Petoskey, MI