Charles Stuart Potrykus, MA in Edmonds, WA - Medicare Counselor Provider

Charles Stuart Potrykus, MA is a medicare enrolled "Counselor - Mental Health" provider in Edmonds, Washington. His current practice location is 8514 Holly Ln, Edmonds, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 313-9546.

Charles Stuart Potrykus is licensed to practice in Washington (license number ) 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 1346444395.

Contact Information

	Charles Stuart Potrykus, MA
	8514 Holly Ln, Edmonds, WA 98026-8635
	(206) 313-9546
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Stuart Potrykus
Gender	Male
Speciality	Counselor - Mental Health
Location	8514 Holly Ln, Edmonds, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346444395
Provider Enumeration Date: 06/13/2007
Last Update Date: 01/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8224568407
Enrollment ID: I20250204002302

Medical Identifiers

Medical identifiers for Charles Stuart Potrykus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346444395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(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. Charles Stuart Potrykus allows following entities to bill medicare on his behalf.

Entity Name	Pacmed Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033

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. Charles Stuart Potrykus 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
Charles Stuart Potrykus, MA 8514 Holly Ln, Edmonds, WA 98026-8635 Ph: (206) 313-9546	Charles Stuart Potrykus, MA 8514 Holly Ln, Edmonds, WA 98026-8635 Ph: (206) 313-9546

Reviews and Comments

Counselor in Edmonds, WA

Thomas Osterdahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 7935 Lake Ballinger Way, Edmonds, WA 98026 Phone: 425-412-2973 Fax: 425-672-6022
Jeanette M Kraemer, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7522 221st Pl Sw, Edmonds, WA 98026 Phone: 425-775-4059
Marc Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 547 Dayton St, Edmonds, WA 98020 Phone: 425-670-2807
Bria J Effertz, M.S.W., MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th Ave W, Edmonds, WA 98026 Phone: 425-672-3333 Fax: 425-712-0539
Kayla Wagner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Sierra Pl, Edmonds, WA 98020 Phone: 253-292-8270
Ms. Abha Harting, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th Ave. W, Aurora House, Edmonds, WA 98026 Phone: 425-672-3333
Mr. David Alan Shively, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th W, Edmonds, WA 98026 Phone: 425-672-3333 Fax: 425-712-0539

Charles Stuart Potrykus, MA - Medicare Counselor in Edmonds, WA