Kimberly Jean Fusaro Warth, PA-C is a medicare enrolled "Family Medicine" in Everett, Washington. Her current practice location is
4201 Rucker Ave, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 382-4000.
Kimberly Jean Fusaro Warth is licensed to practice in Washington (license number PA61018533) 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 1497263438.
Provider's Profile
Full Name | Kimberly Jean Fusaro Warth |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 4201 Rucker Ave, Everett, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497263438
- Provider Enumeration Date: 01/11/2018
- Last Update Date: 02/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 2567721756
- Enrollment ID: I20180116000931
Medical Identifiers
Medical identifiers for Kimberly Jean Fusaro Warth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497263438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA1931 (Nevada) | Secondary |
207Q00000X | Family Medicine | PA61018533 (Washington) | Primary |
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. Kimberly Jean Fusaro Warth 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 |
Kimberly Jean Fusaro Warth, PA-C 4201 Rucker Ave, Everett, WA 98203-2215 Ph: (425) 382-4000 | Kimberly Jean Fusaro Warth, PA-C 4201 Rucker Ave, Everett, WA 98203-2215 Ph: (425) 382-4000 |
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