Mr Garrett Clay Wistisen, FNP in Moses Lake, WA

Mr Garrett Clay Wistisen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Moses Lake, Washington. His current practice location is 1550 S Pioneer Way Ste 100, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9770.

Mr Garrett Clay Wistisen is licensed to practice in Washington (license number AP61662619) 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 1124824370.

Contact Information

	Mr Garrett Clay Wistisen, FNP
	1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637
	(509) 793-9770
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Garrett Clay Wistisen
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1550 S Pioneer Way Ste 100, Moses Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124824370
Provider Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 7618491853
Enrollment ID: I20250409000031

Medical Identifiers

Medical identifiers for Mr Garrett Clay Wistisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124824370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP61662619 (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. Mr Garrett Clay Wistisen allows following entities to bill medicare on his behalf.

Entity Name	Grant County Public Hospital District 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602

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. Mr Garrett Clay Wistisen 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
Mr Garrett Clay Wistisen, FNP 1333 E Landon St, Moses Lake, WA 98837-5700 Ph: (801) 473-4663	Mr Garrett Clay Wistisen, FNP 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837-4637 Ph: (509) 793-9770

Reviews and Comments

Nurse Practitioner Nurses in Moses Lake, WA

Shawta Sackett, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-764-0344
Braeden R Cook, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Leona M Hays, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Coolidge Dr, Moses Lake, WA 98837 Phone: 509-765-0674
Ms. Ioly Tabita Lewis, PMHNP/ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Sheryl A Russell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216
Kimberlee Elizabeth Poole, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837 Phone: 509-793-9787 Fax: 509-764-3263

Mr Garrett Clay Wistisen, FNP - Medicare Nurse Practitioner in Moses Lake, WA