Jamila Nia Mainor, MD in Lake Stevens, WA

Jamila Nia Mainor, MD is a medicare enrolled "Family Medicine" physician in Lake Stevens, Washington. Her current practice location is 8910 Vernon Rd, Lake Stevens, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 397-1704.

Jamila Nia Mainor is licensed to practice in Washington (license number MD61215438) 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 1508052754.

Contact Information

	Jamila Nia Mainor, MD
	8910 Vernon Rd, Lake Stevens, WA 98258-2400
	(425) 397-1704
	(425) 335-5145

Map and Direction

Physician's Profile

Full Name	Jamila Nia Mainor
Gender	Female
Speciality	Family Medicine
Location	8910 Vernon Rd, Lake Stevens, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508052754
Provider Enumeration Date: 09/21/2007
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6103019328
Enrollment ID: I20160615002118

Medical Identifiers

Medical identifiers for Jamila Nia Mainor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508052754	NPI	-	NPPES
2210571	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2010003245 (Missouri)	Secondary
207Q00000X	Family Medicine	ME126189 (Florida)	Secondary
207Q00000X	Family Medicine	MD61215438 (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. Jamila Nia Mainor allows following entities to bill medicare on her behalf.

Entity Name	Baptist Primary Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212

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. Jamila Nia Mainor 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
Jamila Nia Mainor, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 397-1704	Jamila Nia Mainor, MD 8910 Vernon Rd, Lake Stevens, WA 98258-2400 Ph: (425) 397-1704

Reviews and Comments

Family Medicine Doctors in Lake Stevens, WA

David A Lu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-258-3900
Dougal Chisholm, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-357-3305
Marylou Hatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-335-0966
George Vasil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-335-0966
Olubukola Adebowale, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2333 84th Ave Ne, Lake Stevens, WA 98258 Phone: 773-242-9354
Haritha Vankireddy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-397-1704 Fax: 425-335-5145

Jamila Nia Mainor, MD - Medicare Family Medicine in Lake Stevens, WA