Stephanie Lisette Bedolla, NP-C in Petaluma, CA

Stephanie Lisette Bedolla, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Petaluma, California. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Petaluma Health Center Inc and her current practice location is 1179 N Mcdowell Blvd, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 559-7500.

Stephanie Lisette Bedolla is licensed to practice in California (license number 95002835) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265717565.

Contact Information

	Stephanie Lisette Bedolla, NP-C
	1179 N Mcdowell Blvd, Petaluma, CA 94954-6559
	(707) 559-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Lisette Bedolla
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1179 N Mcdowell Blvd, Petaluma, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Lisette Bedolla graduated from nursing school in 2011

NPI Data:

NPI Number: 1265717565
Provider Enumeration Date: 10/18/2011
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 2466613153
Enrollment ID: I20160404002223

Medical Identifiers

Medical identifiers for Stephanie Lisette Bedolla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265717565	NPI	-	NPPES
11009205/A	Medicaid	MA
SB90061	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	NPP37728 (Rhode Island)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN2275566 (Massachusetts)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	95002835 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Petaluma Health Center Inc	9133180375	62

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. Stephanie Lisette Bedolla allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Stephanie Lisette Bedolla 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
Stephanie Lisette Bedolla, NP-C 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500	Stephanie Lisette Bedolla, NP-C 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500

Reviews and Comments

Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 599 Tomales Rd., Petaluma, CA 94952 Phone: 707-765-7205
Jessica Flinders, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622
Sherin Ann Chakkalakel, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0802
Dahae Hwang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Gisselle E Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7617 Fax: 707-559-7620
Andrew K Chinnock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-776-8066
Stephanie M Treece, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620

Stephanie Lisette Bedolla, NP-C - Medicare Nurse Practitioner in Petaluma, CA