Jessica Lauren Wyner, NP in North Hollywood, CA

Jessica Lauren Wyner, NP is a medicare enrolled "Nurse Practitioner - Family" in North Hollywood, California. Her current practice location is 12660 Riverside Dr Ste 225, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (818) 755-0265.

Jessica Lauren Wyner is licensed to practice in California (license number 95017840) 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 1619643368.

Contact Information

	Jessica Lauren Wyner, NP
	12660 Riverside Dr Ste 225, North Hollywood, CA 91607-3469
	(818) 755-0265
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Lauren Wyner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12660 Riverside Dr Ste 225, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619643368
Provider Enumeration Date: 08/20/2021
Last Update Date: 05/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1951791003
Enrollment ID: I20211202002914

Medical Identifiers

Medical identifiers for Jessica Lauren Wyner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619643368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017840 (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. Jessica Lauren Wyner allows following entities to bill medicare on her behalf.

Entity Name	Lakeside Medical Organization A Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015

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. Jessica Lauren Wyner 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
Jessica Lauren Wyner, NP 12660 Riverside Dr, North Hollywood, CA 91607-3429 Ph: (818) 755-0391	Jessica Lauren Wyner, NP 12660 Riverside Dr Ste 225, North Hollywood, CA 91607-3469 Ph: (818) 755-0265

Reviews and Comments

Nurse Practitioner Nurses in North Hollywood, CA

Dr. Yekeen Adagbada Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601 Phone: 773-412-8828
Jessica Cuesta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13118 Sherman Way, North Hollywood, CA 91605 Phone: 818-308-6318
Christine Geyranyan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6522 Bellaire Ave, North Hollywood, CA 91606 Phone: 818-439-8154
Hrachya Greg Grigoryan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6422 Whitsett Ave Apt 202, North Hollywood, CA 91606 Phone: 818-861-4708
Jeong Ah Kim, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10999 Riverside Dr Ste 306, North Hollywood, CA 91602 Phone: 818-824-3702
Ms. Janetta Ellen Yanez, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836
Alfonso Cruz Manuel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7653 Coldwater Canyon Ct, North Hollywood, CA 91605 Phone: 818-200-7062

Jessica Lauren Wyner, NP - Medicare Nurse Practitioner in North Hollywood, CA