Nisreen Fidda, MD in Olympia, WA

Nisreen Fidda, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Olympia, Washington. She graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Cellnetix Pathology Pllc, Cellnetix Pathology Pllc and her current practice location is 3900 Capital Mall Drive Sw, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 754-5858.

Nisreen Fidda is licensed to practice in Washington (license number MD00044946) 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 1992764880.

Contact Information

	Nisreen Fidda, MD
	3900 Capital Mall Drive Sw, Olympia, WA 98502
	(360) 754-5858
	(360) 956-2574

Map and Direction

Physician's Profile

Full Name	Nisreen Fidda
Gender	Female
Speciality	Pathology
Experience	32 Years
Location	3900 Capital Mall Drive Sw, Olympia, Washington
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:

Nisreen Fidda graduated from medical school in 1993

NPI Data:

NPI Number: 1992764880
Provider Enumeration Date: 03/21/2006
Last Update Date: 12/18/2007

Medicare PECOS Information:

PECOS PAC ID: 2567429640
Enrollment ID: I20050923000611

Medical Identifiers

Medical identifiers for Nisreen Fidda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992764880	NPI	-	NPPES
203962	Other	WA	LABOR & INDUSTRIES
8412462	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD00044946 (Washington)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD24504 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Peter Hospital	Olympia, WA	Hospital
Providence Centralia Hospital	Centralia, WA	Hospital
Capital Medical Center	Olympia, WA	Hospital
Grays Harbor Community Hospital	Aberdeen, WA	Hospital
Mason General Hospital & Family Of Clinics	Shelton, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cellnetix Pathology Pllc	8224062971	61
Cellnetix Pathology Pllc	8224062971	61

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. Nisreen Fidda allows following entities to bill medicare on her behalf.

Entity Name	The Polyclinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Entity Name	Cellnetix Pathology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356310866 PECOS PAC ID: 8224062971 Enrollment ID: O20050921001093

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. Nisreen Fidda 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
Nisreen Fidda, MD Po Box 3941, Seattle, WA 98124-3941 Ph: (360) 459-7770	Nisreen Fidda, MD 3900 Capital Mall Drive Sw, Olympia, WA 98502 Ph: (360) 754-5858

Reviews and Comments

Pathology Doctors in Olympia, WA

Jay Michael Odell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3900 Capital Mall Drive Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-956-2574
Richard Osborn Whitten, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361
Frank J Brown, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8250 Fax: 360-413-8830
Charles A Richert, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361
Terrence Anthony Schulte, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361
Dennis F Peck, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Road Ne, Providence St Peter Hospital, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-459-4361
Dr. Susanne Carmack, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 406 Black Hills Ln Sw Ste A, Olympia, WA 98502 Phone: 360-704-3400 Fax: 360-754-1783

Nisreen Fidda, MD - Medicare Pathology in Olympia, WA