Jennifer M Vallidis, ARNP, CNM, FNP in Seattle, WA

Jennifer M Vallidis, ARNP, CNM, FNP is a medicare enrolled "Nurse Practitioner - Family" in Seattle, Washington. Her current practice location is 1959 Ne Pacific St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 520-5000.

Jennifer M Vallidis is licensed to practice in Washington (license number AP60120156) 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 1770520454.

Contact Information

	Jennifer M Vallidis, ARNP, CNM, FNP
	1959 Ne Pacific St, Seattle, WA 98195-3586
	(206) 520-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer M Vallidis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1959 Ne Pacific St, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770520454
Provider Enumeration Date: 06/01/2006
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7517979669
Enrollment ID: I20101124001097

Medical Identifiers

Medical identifiers for Jennifer M Vallidis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770520454	NPI	-	NPPES
1770520454	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	AP60140545 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	AP60120156 (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. Jennifer M Vallidis allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	Obstetrix Medical Group Of Washington Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861599573 PECOS PAC ID: 3577451947 Enrollment ID: O20040308000679

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. Jennifer M Vallidis 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
Jennifer M Vallidis, ARNP, CNM, FNP Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700	Jennifer M Vallidis, ARNP, CNM, FNP 1959 Ne Pacific St, Seattle, WA 98195-3586 Ph: (206) 520-5000

Reviews and Comments

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Jennifer M Vallidis, ARNP, CNM, FNP - Medicare Nurse Practitioner in Seattle, WA