Anne Marie Fombu, in Tukwila, WA - Medicare Nurse Practitioner

Anne Marie Fombu, is a medicare enrolled "Nurse Practitioner - Family" in Tukwila, Washington. Her current practice location is 16400 Southcenter Pkwy Ste 101, Tukwila, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 575-0300.

Anne Marie Fombu is licensed to practice in Washington (license number F05210644) 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 1245828383.

Contact Information

	Anne Marie Fombu,
	16400 Southcenter Pkwy Ste 101, Tukwila, WA 98188-3302
	(206) 575-0300
	Not Available

Map and Direction

Provider's Profile

Full Name	Anne Marie Fombu
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16400 Southcenter Pkwy Ste 101, Tukwila, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245828383
Provider Enumeration Date: 01/05/2021
Last Update Date: 08/09/2021

Medicare PECOS Information:

PECOS PAC ID: 2769853852
Enrollment ID: I20230127002508

Medical Identifiers

Medical identifiers for Anne Marie Fombu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245828383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60860845 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	F05210644 (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. Anne Marie Fombu allows following entities to bill medicare on her behalf.

Entity Name	Molina Healthcare Of Washington Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912235060 PECOS PAC ID: 1850427527 Enrollment ID: O20100405000336

Entity Name	Stemwave Northwest Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649985466 PECOS PAC ID: 9638542590 Enrollment ID: O20230224001029

Entity Name	Annemarie Aesthetics Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700665288 PECOS PAC ID: 3577909233 Enrollment ID: O20240315003073

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. Anne Marie Fombu 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
Anne Marie Fombu, 16400 Southcenter Pkwy Ste 309, Tukwila, WA 98188-3302 Ph: (206) 575-0300	Anne Marie Fombu, 16400 Southcenter Pkwy Ste 101, Tukwila, WA 98188-3302 Ph: (206) 575-0300

Reviews and Comments

Nurse Practitioner Nurses in Tukwila, WA

Ms. Jennifer T Hardgrove, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188 Phone: 206-466-5410 Fax: 206-721-1287
Lauren Buckham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13030 Military Rd S Ste 200, Tukwila, WA 98168 Phone: 206-439-3289
Dr. Tofik Sergaga Shkrea, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12844 Military Rd S, Tukwila, WA 98168 Phone: 206-372-3784
Cindy Bello-utu, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Fort Dent Way Ste 220, Tukwila, WA 98188 Phone: 425-640-7009 Fax: 425-640-9600
Diane E Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13030 Military Rd S, Suite # 210, Tukwila, WA 98168 Phone: 206-242-6500 Fax: 206-246-7946
Mr. Charles Allen Wiley, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12400 E Marginal Way S, Tukwila, WA 98168 Phone: 206-901-8801
Gemy George, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12844 Military Rd S, Tukwila, WA 98168 Phone: 425-586-0941

Anne Marie Fombu, - Medicare Nurse Practitioner in Tukwila, WA