Mrs Charito Feddersen, APRN in Vallejo, CA - Medicare Nurse Practitioner

Mrs Charito Feddersen, APRN is a medicare enrolled "Nurse Practitioner - Family" in Vallejo, California. Her current practice location is 415 Georgia St, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 556-8100.

Mrs Charito Feddersen is licensed to practice in California (license number 95018906) 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 1992468409.

Contact Information

	Mrs Charito Feddersen, APRN
	415 Georgia St, Vallejo, CA 94590-6004
	(707) 556-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Charito Feddersen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	415 Georgia St, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992468409
Provider Enumeration Date: 10/21/2021
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4688062060
Enrollment ID: I20211104001357

Medical Identifiers

Medical identifiers for Mrs Charito Feddersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992468409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95018906 (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. Mrs Charito Feddersen allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

Entity Name	La Clinica De La Raza Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016

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. Mrs Charito Feddersen 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
Mrs Charito Feddersen, APRN Po Box 22210, Oakland, CA 94623-2210 Ph: () -	Mrs Charito Feddersen, APRN 415 Georgia St, Vallejo, CA 94590-6004 Ph: (707) 556-8100

Reviews and Comments

Nurse Practitioner Nurses in Vallejo, CA

Catherine Ann Heckert, NPF Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Georgia Street, Suite B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107
Alisha R Mcgriff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Vallejo, CA 94589 Phone: 707-427-4900
Miss Bonnie Jo Gallegos, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Kaiser Permanente Vallejo Medical Center, Vallejo, CA 94589 Phone: 707-651-1031
Ryan Singer, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Jade Cir, Vallejo, CA 94590 Phone: 770-369-5696
Maricar Inigo, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Georgia Street, Ste B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107
Lisa M Banuelos, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr Fl 2, Vallejo, CA 94589 Phone: 707-427-4900
Naomi Elaine Harada, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3470

Mrs Charito Feddersen, APRN - Medicare Nurse Practitioner in Vallejo, CA