Fonabei Ayongaba, - Medicare Nurse Practitioner in Lacey, WA

Fonabei Ayongaba, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lacey, Washington. His current practice location is 605 Woodland Square Loop Se, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at (844) 949-8888.

Fonabei Ayongaba is licensed to practice in Washington (license number AP61475276) 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 1104532944.

Contact Information

Fonabei Ayongaba,
605 Woodland Square Loop Se,
Lacey, WA 98503-1045
(844) 949-8888
Not Available

Map and Direction




Provider's Profile

Full NameFonabei Ayongaba
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location605 Woodland Square Loop Se, Lacey, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104532944
  • Provider Enumeration Date: 01/25/2023
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325497944
  • Enrollment ID: I20231207003943

Medical Identifiers

Medical identifiers for Fonabei Ayongaba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104532944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN61094794 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61475276 (Washington)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. Fonabei Ayongaba allows following entities to bill medicare on his behalf.
Entity NameTelecare Mental Health Services Of Washington, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780913657
PECOS PAC ID: 5698804409
Enrollment ID: O20100603000217
Entity NameVest Thurston Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336605849
PECOS PAC ID: 0648512459
Enrollment ID: O20190701002488

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. Fonabei Ayongaba 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 AddressPractice Location Address
Fonabei Ayongaba,
325 W Gowe St,
Kent, WA 98032-5892

Ph: (253) 833-7444
Fonabei Ayongaba,
605 Woodland Square Loop Se,
Lacey, WA 98503-1045

Ph: (844) 949-8888

Reviews and Comments


Nurse Practitioner Nurses in Lacey, WA

Cynthia A Ramsey, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516
Phone: 888-227-3312    Fax: 360-413-6509
Sheree Harvey, DNP, ARNP, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503
Phone: 360-359-4840    
Jodi Fischer, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503
Phone: 360-491-4460    Fax: 360-491-3090
Carrie Welty, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516
Phone: 360-413-4200    
Consilia Samkia Yeluma,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 606 Woodland Square Loop Se, Lacey, WA 98503
Phone: 360-359-8951    
Mr. Prachanda Khadka, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516
Phone: 360-413-4200    Fax: 360-413-4225
Meghan Neal, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516
Phone: 888-227-3312    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.