Dr Laurie Ann Womack, DNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Longview, Washington. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peacehealth, Telecare Mental Health Services Of Washington, Inc and her current practice location is
1615 Delaware St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 414-2000.
Dr Laurie Ann Womack is licensed to practice in Washington (license number AP60783134) 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 1801300165.
Physician's Profile
Full Name | Dr Laurie Ann Womack |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 1615 Delaware St, Longview, Washington |
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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:
- Dr Laurie Ann Womack graduated from medical school in 2017
NPI Data:
- NPI Number: 1801300165
- Provider Enumeration Date: 11/24/2017
- Last Update Date: 03/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981962560
- Enrollment ID: I20180103003308
Medical Identifiers
Medical identifiers for Dr Laurie Ann Womack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801300165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | AP60783134 (Washington) | Secondary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | AP60783134 (Washington) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60783134 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Peacehealth | 5890689293 | 182 |
Telecare Mental Health Services Of Washington, Inc | 5698804409 | 12 |
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. Dr Laurie Ann Womack allows following entities to bill medicare on her behalf.
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
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Entity Name | Telecare Mental Health Services Of Washington, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780913657 PECOS PAC ID: 5698804409 Enrollment ID: O20100603000217 |
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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. Dr Laurie Ann Womack 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 |
Dr Laurie Ann Womack, DNP, PMHNP 332 King Rd, Silverlake, WA 98645-9718 Ph: (360) 431-1940 | Dr Laurie Ann Womack, DNP, PMHNP 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2000 |
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