Katelyn Nicole Pini, PA-C - Medicare Physician Assistant in Walnut Creek, CA

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Katelyn Nicole Pini, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Walnut Creek, California. Her current practice location is 355 Lennon Ln Ste 235, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 357-9050.

Katelyn Nicole Pini is licensed to practice in California (license number PA57601) 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 1316585730.

Contact Information

Katelyn Nicole Pini, PA-C
355 Lennon Ln Ste 235,
Walnut Creek, CA 94598-2544
(925) 357-9050
Not Available

Map and Direction




Provider's Profile

Full NameKatelyn Nicole Pini
GenderFemale
SpecialityPhysician Assistant - Surgical
Location355 Lennon Ln Ste 235, Walnut Creek, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316585730
  • Provider Enumeration Date: 12/16/2019
  • Last Update Date: 06/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880020783
  • Enrollment ID: I20200213001121

Medical Identifiers

Medical identifiers for Katelyn Nicole Pini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316585730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 57601 (California)Secondary
363AS0400XPhysician Assistant - Surgical PA57601 (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. Katelyn Nicole Pini allows following entities to bill medicare on her behalf.
Entity NameRegents of the University of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760552343
PECOS PAC ID: 4284547274
Enrollment ID: O20031106000389
Entity NameUCSF Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUCSF Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameGolden State Dermatology Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700860871
PECOS PAC ID: 1052418175
Enrollment ID: O20070523000605
Entity NameAnne Peled, MD, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700260296
PECOS PAC ID: 4183938400
Enrollment ID: O20150730013459

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. Katelyn Nicole Pini 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
Katelyn Nicole Pini, PA-C
1841 Chestnut St Apt 4,
San Francisco, CA 94123-2822

Ph: (414) 640-6267		Katelyn Nicole Pini, PA-C
355 Lennon Ln Ste 235,
Walnut Creek, CA 94598-2544

Ph: (925) 357-9050

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.