Dr Braden Carl Andersen, DNP, MBA, ARNP is a medicare enrolled "Family Medicine" in Lynnwood, Washington. His current practice location is
19410 Highway 99 Ste A-147, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 217-0609.
Dr Braden Carl Andersen is licensed to practice in Washington (license number AP60750107) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598292120.
Provider's Profile
| Full Name | Dr Braden Carl Andersen |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 19410 Highway 99 Ste A-147, Lynnwood, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598292120
- Provider Enumeration Date: 05/13/2017
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406127729
- Enrollment ID: I20170804002107
Medical Identifiers
Medical identifiers for Dr Braden Carl Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598292120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | AP60750107 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60750107 (Washington) | Secondary |
| 207Q00000X | Family Medicine | AP60750107 (Washington) | Primary |
| 363L00000X | Nurse Practitioner | AP60750107 (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 Braden Carl Andersen allows following entities to bill medicare on his behalf.
| Entity Name | Fhs Inpatient Team |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326058017
PECOS PAC ID: 7012813421
Enrollment ID: O20031208000806 |
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| Entity Name | Northwest Physician Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275567919
PECOS PAC ID: 4183523806
Enrollment ID: O20031231000754 |
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| Entity Name | Cascade Emergency Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225060734
PECOS PAC ID: 8527955871
Enrollment ID: O20040302000157 |
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| Entity Name | Northwest Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235172370
PECOS PAC ID: 3476462334
Enrollment ID: O20041214000892 |
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| Entity Name | Northwest Observation Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023539376
PECOS PAC ID: 9032480942
Enrollment ID: O20170810000470 |
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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 Braden Carl Andersen 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 |
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Dr Braden Carl Andersen, DNP, MBA, ARNP
14520 Se 284th St,
Kent, WA 98042-3924
Ph: (253) 217-0609 | Dr Braden Carl Andersen, DNP, MBA, ARNP
19410 Highway 99 Ste A-147,
Lynnwood, WA 98036-5102
Ph: (253) 217-0609 |
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