Petrice P Kam, RN, NP-BC, WCC in Berkeley, CA

Petrice P Kam, RN, NP-BC, WCC is a medicare enrolled "Nurse Practitioner - Gerontology" in Berkeley, California. Her current practice location is 1497 Alcatraz Ave, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 433-1150.

Petrice P Kam is licensed to practice in California (license number 16026) 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 1396967261.

Contact Information

	Petrice P Kam, RN, NP-BC, WCC
	1497 Alcatraz Ave, Berkeley, CA 94702-2710
	(510) 433-1150
	(510) 844-0132

Map and Direction

Provider's Profile

Full Name	Petrice P Kam
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1497 Alcatraz Ave, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396967261
Provider Enumeration Date: 05/02/2007
Last Update Date: 07/15/2013

Medicare PECOS Information:

PECOS PAC ID: 7911200480
Enrollment ID: I20241021003407

Medical Identifiers

Medical identifiers for Petrice P Kam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396967261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	16026 (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. Petrice P Kam 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

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. Petrice P Kam 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
Petrice P Kam, RN, NP-BC, WCC 1194 Carrison St, Berkeley, CA 94702-2410 Ph: (510) 549-9312	Petrice P Kam, RN, NP-BC, WCC 1497 Alcatraz Ave, Berkeley, CA 94702-2710 Ph: (510) 433-1150

Reviews and Comments

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Petrice P Kam, RN, NP-BC, WCC - Medicare Nurse Practitioner in Berkeley, CA