Lola Mudgistratova, MD - Medicare Emergency Medicine in Seattle, WA

Lola Mudgistratova, MD is a medicare enrolled "Emergency Medicine" physician in Seattle, Washington. She went to University Of Washington School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Associated Emergency Room Physicians Inc Ps and her current practice location is 201 16th Ave E, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 326-3000.

Lola Mudgistratova is licensed to practice in Washington (license number MD60963016) 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 1609309533.

Contact Information

Lola Mudgistratova, MD
201 16th Ave E,
Seattle, WA 98112-5226
(206) 326-3000
Not Available

Map and Direction




Physician's Profile

Full NameLola Mudgistratova
GenderFemale
SpecialityEmergency Medicine
Experience7 Years
Location201 16th Ave E, Seattle, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lola Mudgistratova attended and graduated from University Of Washington School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1609309533
  • Provider Enumeration Date: 04/07/2017
  • Last Update Date: 04/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163790312
  • Enrollment ID: I20200713000307

Medical Identifiers

Medical identifiers for Lola Mudgistratova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609309533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD60963016 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley Medical CenterRenton, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Emergency Room Physicians Inc Ps791189205422

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. Lola Mudgistratova allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454
Entity NameAssociated Emergency Room Physicians Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861480840
PECOS PAC ID: 7911892054
Enrollment ID: O20040218000447

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. Lola Mudgistratova 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
Lola Mudgistratova, MD
201 16th Ave E,
Seattle, WA 98112-5226

Ph: (206) 326-3000
Lola Mudgistratova, MD
201 16th Ave E,
Seattle, WA 98112-5226

Ph: (206) 326-3000

Reviews and Comments


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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.