Travis Petrick, NP in Sherman Oaks, CA - Medicare Nurse Practitioner

Travis Petrick, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Sherman Oaks, California. His current practice location is 15353 Weddington St Apt C107, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (310) 469-1374.

Travis Petrick is licensed to practice in California (license number 95012917) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255982492.

Contact Information

	Travis Petrick, NP
	15353 Weddington St Apt C107, Sherman Oaks, CA 91411-3844
	(310) 469-1374
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis Petrick
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	15353 Weddington St Apt C107, Sherman Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255982492
Provider Enumeration Date: 09/27/2019
Last Update Date: 09/27/2019

Medicare PECOS Information:

PECOS PAC ID: 1355754151
Enrollment ID: I20210118000647

Medical Identifiers

Medical identifiers for Travis Petrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255982492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95012917 (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. Travis Petrick allows following entities to bill medicare on his behalf.

Entity Name	Desert Trauma Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144225426 PECOS PAC ID: 0547366106 Enrollment ID: O20070428000140

Entity Name	El-bershawi Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386813103 PECOS PAC ID: 9032298492 Enrollment ID: O20080509000414

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. Travis Petrick 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
Travis Petrick, NP 15353 Weddington St Apt C107, Sherman Oaks, CA 91411-3844 Ph: (310) 469-1374	Travis Petrick, NP 15353 Weddington St Apt C107, Sherman Oaks, CA 91411-3844 Ph: (310) 469-1374

Reviews and Comments

Nurse Practitioner Nurses in Sherman Oaks, CA

Sonya Hallabyan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4419 Van Nuys Blvd Ste 403, Sherman Oaks, CA 91403 Phone: 705-710-0747
Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453
Sabrina Ginzburg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4603 Kester Ave, Sherman Oaks, CA 91403 Phone: 612-607-9290
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400

Travis Petrick, NP - Medicare Nurse Practitioner in Sherman Oaks, CA