Kingston Crossing Wellness Ps - Medicare in Kingston, WA

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Kingston Crossing Wellness Ps is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Kingston, Washington. Their current practice location is 8202 Ne State Highway 104 Ste 105, Kingston, Washington. You can reach out to their office (for appointments etc.) via phone at (360) 297-0037.

Kingston Crossing Wellness Ps is licensed to practice in Washington (license number 6605160001) and it also participates in the medicare program. Kingston Crossing Wellness Ps is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235336025.

Contact Information

Kingston Crossing Wellness Ps
8202 Ne State Highway 104 Ste 105,
Kingston, WA 98346-9454
(360) 297-0037
(360) 297-0420

Map and Direction




Healthcare Provider's Profile

Full NameKingston Crossing Wellness Ps
TypeFacility
SpecialityDurable Medical Equipment & Medical Supplies
Location8202 Ne State Highway 104 Ste 105, Kingston, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235336025
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 12/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8325148869
  • Enrollment ID: O20070712000325

Medical Identifiers

Medical identifiers for Kingston Crossing Wellness Ps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235336025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies 6605160001 (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. Kingston Crossing Wellness Ps acts as a billing entity for following providers:
Provider NameSahibjit S Gill
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1124105598
PECOS PAC ID: 5890894166
Enrollment ID: I20070627000420
Provider NameShayne S Yocum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043511181
PECOS PAC ID: 1456508878
Enrollment ID: I20120820000941
Provider NameCollin Kuoppala
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1073029377
PECOS PAC ID: 1658631718
Enrollment ID: I20200127001871
Provider NameAudra Rose Kuoppala
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1306495775
PECOS PAC ID: 0446671226
Enrollment ID: I20200603000829

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. Kingston Crossing Wellness Ps 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
Kingston Crossing Wellness Ps
8202 Ne State Highway 104, Sutie 105,
Kingston, WA 98346-9454

Ph: (360) 297-0037		Kingston Crossing Wellness Ps
8202 Ne State Highway 104 Ste 105,
Kingston, WA 98346-9454

Ph: (360) 297-0037

Reviews and Comments



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.