Katelyn Peticca O'brien, RN, MSN, FNP-BC - Medicare Nurse Practitioner in Waterford, MI

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Katelyn Peticca O'brien, RN, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Waterford, Michigan. Her current practice location is 3525 Karen Pkwy Apt 204, Waterford, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 568-0692.

Katelyn Peticca O'brien is licensed to practice in Michigan (license number 4704300190) 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 1396301685.

Contact Information

Katelyn Peticca O'brien, RN, MSN, FNP-BC
3525 Karen Pkwy Apt 204,
Waterford, MI 48328-4609
(248) 568-0692
Not Available

Map and Direction




Provider's Profile

Full NameKatelyn Peticca O'brien
GenderFemale
SpecialityNurse Practitioner - Family
Location3525 Karen Pkwy Apt 204, Waterford, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396301685
  • Provider Enumeration Date: 05/13/2019
  • Last Update Date: 07/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850726118
  • Enrollment ID: I20200114001796

Medical Identifiers

Medical identifiers for Katelyn Peticca O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396301685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704300190 (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. Katelyn Peticca O'brien allows following entities to bill medicare on her behalf.
Entity NameRochester Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316018971
PECOS PAC ID: 2264334564
Enrollment ID: O20040127000012
Entity NameLakeside Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720159304
PECOS PAC ID: 0446146385
Enrollment ID: O20040226000404
Entity NameMeadowbrook Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184843898
PECOS PAC ID: 9436245040
Enrollment ID: O20071012000163
Entity NameOxford Urgent Care Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700036936
PECOS PAC ID: 7214094291
Enrollment ID: O20090318000322
Entity NameMetro Infectious Disease Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20120710000753
Entity NameWashington Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891045563
PECOS PAC ID: 4981857489
Enrollment ID: O20130112000065
Entity NameSomerset Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124461702
PECOS PAC ID: 8628203254
Enrollment ID: O20131106001221
Entity NameElizabeth Lake Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538585260
PECOS PAC ID: 3375769078
Enrollment ID: O20140731002302
Entity NameRoyal Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952833196
PECOS PAC ID: 3779851738
Enrollment ID: O20170615000258

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 Peticca O'brien 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 Peticca O'brien, RN, MSN, FNP-BC
3525 Karen Pkwy Apt 204,
Waterford, MI 48328-4609

Ph: (248) 568-0692		Katelyn Peticca O'brien, RN, MSN, FNP-BC
3525 Karen Pkwy Apt 204,
Waterford, MI 48328-4609

Ph: (248) 568-0692

Reviews and Comments


Nurse Practitioner Nurses in Waterford, MI

Janetlynne Erickson, FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 5220 Highland Rd, Suite 230, Waterford, MI 48327
Phone: 248-456-8001    Fax: 248-456-8005
Christine Glowacki, FNP BC
Nurse Practitioner
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Practice Location: 5800 Highland Rd, Waterford, MI 48327
Phone: 248-290-5700    
Sophia Abraham, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5758 Cooley Lake Rd, Waterford, MI 48327
Phone: 855-466-3631    Fax: 810-244-0226
Tiffany Nicole Gerke,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2561 Elizabeth Lake Rd, Waterford, MI 48328
Phone: 248-682-3300    

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.