Dr Vivian A Lombillo, MD PHD in Olympia, WA

Dr Vivian A Lombillo, MD PHD is a medicare enrolled "Dermatology - Pediatric Dermatology" physician in Olympia, Washington. Her current practice location is 703 Lilly Rd Ne Suite 105, Northwest Pediatric Dermatology, Pllc, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 539-6141.

Dr Vivian A Lombillo is licensed to practice in Washington (license number MD00046225) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013938620.

Contact Information

	Dr Vivian A Lombillo, MD PHD
	703 Lilly Rd Ne Suite 105, Northwest Pediatric Dermatology, Pllc, Olympia, WA 98506
	(360) 539-6141
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vivian A Lombillo
Gender	Female
Speciality	Dermatology - Pediatric Dermatology
Location	703 Lilly Rd Ne Suite 105, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013938620
Provider Enumeration Date: 07/21/2006
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 0446254924
Enrollment ID: I20060914000608

Medical Identifiers

Medical identifiers for Dr Vivian A Lombillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013938620	NPI	-	NPPES
03367104	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	MD00046225 (Washington)	Primary
207N00000X	Dermatology	MD00046225 (Washington)	Secondary

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 Vivian A Lombillo allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

Entity Name	Sea Mar Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210

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 Vivian A Lombillo 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 Vivian A Lombillo, MD PHD 703 Lilly Rd Ne Suite 105, Northwest Pediatric Dermatology, Pllc, Olympia, WA 98506 Ph: (360) 539-6141	Dr Vivian A Lombillo, MD PHD 703 Lilly Rd Ne Suite 105, Northwest Pediatric Dermatology, Pllc, Olympia, WA 98506 Ph: (360) 539-6141

Reviews and Comments

Dermatology Doctors in Olympia, WA

David A Remis, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000
Shauna M Richert, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 W Bay Dr Nw, Suite 301, Olympia, WA 98502 Phone: 360-413-8760 Fax: 360-413-8839
Dr. James L Brazil, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 424 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-459-1700 Fax: 360-459-0537
Dr. Kaley Myer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 W Bay Dr Nw Ste 301, Olympia, WA 98502 Phone: 360-413-8760
Dr. Jacob Howard Bauer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 W Bay Dr Nw, Ste 301, Olympia, WA 98502 Phone: 360-413-8760
Dr. James William Young, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5127 Klahanie Dr Nw, Olympia, WA 98502 Phone: 360-866-4535

Dr Vivian A Lombillo, MD PHD - Medicare Dermatology in Olympia, WA