Nicole Gamache, FNP-C in Petaluma, CA - Medicare Nurse Practitioner

Nicole Gamache, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Petaluma, California. Her current practice location is 3900 Lakeville Hwy, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 765-3900.

Nicole Gamache is licensed to practice in California (license number 95023692) 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 1669733051.

Contact Information

	Nicole Gamache, FNP-C
	3900 Lakeville Hwy, Petaluma, CA 94954-5698
	(707) 765-3900
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Gamache
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	3900 Lakeville Hwy, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669733051
Provider Enumeration Date: 06/03/2012
Last Update Date: 07/09/2025

Medicare PECOS Information:

PECOS PAC ID: 7911288923
Enrollment ID: I20181030001304

Medical Identifiers

Medical identifiers for Nicole Gamache such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669733051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0992744-NP (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	AP09953 (Louisiana)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95023692 (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. Nicole Gamache allows following entities to bill medicare on her behalf.

Entity Name	Ochsner Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513

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. Nicole Gamache 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
Nicole Gamache, FNP-C 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900	Nicole Gamache, FNP-C 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900

Reviews and Comments

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Nicole Gamache, FNP-C - Medicare Nurse Practitioner in Petaluma, CA