Marina Viktorovna Dolmatova, ARNP in Puyallup, WA

Marina Viktorovna Dolmatova, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Puyallup, Washington. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Puyallup Dermatology Clinic Inc P.s. and her current practice location is 2622 S Meridian, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 841-2453.

Marina Viktorovna Dolmatova is licensed to practice in Washington (license number AP61194717) 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 1043865421.

Contact Information

	Marina Viktorovna Dolmatova, ARNP
	2622 S Meridian, Puyallup, WA 98373-1500
	(253) 841-2453
	(253) 840-5519

Map and Direction

Provider's Profile

Full Name	Marina Viktorovna Dolmatova
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2622 S Meridian, Puyallup, 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:

Marina Viktorovna Dolmatova graduated from nursing school in 2021

NPI Data:

NPI Number: 1043865421
Provider Enumeration Date: 08/02/2019
Last Update Date: 06/02/2025

Medicare PECOS Information:

PECOS PAC ID: 9032509575
Enrollment ID: I20230829001670

Medical Identifiers

Medical identifiers for Marina Viktorovna Dolmatova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043865421	NPI	-	NPPES
AP61194717	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	RN60656201 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	AP61194717 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Puyallup Dermatology Clinic Inc P.s.	1153313408	5

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. Marina Viktorovna Dolmatova allows following entities to bill medicare on her behalf.

Entity Name	Silver Falls Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20140328000678

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. Marina Viktorovna Dolmatova 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
Marina Viktorovna Dolmatova, ARNP 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385	Marina Viktorovna Dolmatova, ARNP 2622 S Meridian, Puyallup, WA 98373-1500 Ph: (253) 841-2453

Reviews and Comments

Nurse Practitioner Nurses in Puyallup, WA

Melinda Moore, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674
Oscar Herrera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450
Mackenzie Annette Schumann, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-447-1641

Marina Viktorovna Dolmatova, ARNP - Medicare Nurse Practitioner in Puyallup, WA