Jaqueline Alexis Gorodetsky, PMHNP - Medicare Nurse Practitioner in Panorama City, CA

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Jaqueline Alexis Gorodetsky, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Panorama City, California. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 14860 Roscoe Blvd Ste 307, Panorama City, California. You can reach out to her office (for appointments etc.) via phone at (818) 616-2122.

Jaqueline Alexis Gorodetsky is licensed to practice in California (license number 95027727) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1619730660.

Contact Information

Jaqueline Alexis Gorodetsky, PMHNP
14860 Roscoe Blvd Ste 307,
Panorama City, CA 91402-4691
(818) 616-2122
Not Available

Map and Direction




Provider's Profile

Full NameJaqueline Alexis Gorodetsky
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location14860 Roscoe Blvd Ste 307, Panorama City, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaqueline Alexis Gorodetsky graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1619730660
  • Provider Enumeration Date: 02/02/2024
  • Last Update Date: 01/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113406356
  • Enrollment ID: I20260209002353

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 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 AddressPractice Location Address
Jaqueline Alexis Gorodetsky, PMHNP
14860 Roscoe Blvd Ste 307,
Panorama City, CA 91402-4691

Ph: () -		Jaqueline Alexis Gorodetsky, PMHNP
14860 Roscoe Blvd Ste 307,
Panorama City, CA 91402-4691

Ph: (818) 616-2122

Reviews and Comments


Nurse Practitioner Nurses in Panorama City, CA

Gloria S Tongson, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Tina J Woolfork, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Mary Bernadette Acuna Coburn, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Hilda Berenice Jacobo, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402
Phone: 818-899-5555    
Gabriel Rosenbloom,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14860 Roscoe Blvd Ste 306, Panorama City, CA 91402
Phone: 818-616-2122    
Miss Elizabeth Maratovna Khavkina, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14860 Roscoe Blvd Ste 307, Panorama City, CA 91402
Phone: 818-616-2122    
Sharon M Poncher, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    

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).

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