Dr Miguel Angel De La Mora, DNP, PMHNP in Kennewick, WA

Dr Miguel Angel De La Mora, DNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kennewick, Washington. His current practice location is 1030 N Center Pkwy Ste 113, Kennewick, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 910-4559.

Dr Miguel Angel De La Mora is licensed to practice in Washington (license number AP61485710) 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 1821874462.

Contact Information

	Dr Miguel Angel De La Mora, DNP, PMHNP
	1030 N Center Pkwy Ste 113, Kennewick, WA 99336-7160
	(509) 910-4559
	(509) 447-7455

Map and Direction

Provider's Profile

Full Name	Dr Miguel Angel De La Mora
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1030 N Center Pkwy Ste 113, Kennewick, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821874462
Provider Enumeration Date: 09/07/2023
Last Update Date: 07/01/2026

Medicare PECOS Information:

PECOS PAC ID: 4486097151
Enrollment ID: I20240209000617

Medical Identifiers

Medical identifiers for Dr Miguel Angel De La Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821874462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61485710 (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. Dr Miguel Angel De La Mora 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. Dr Miguel Angel De La Mora 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
Dr Miguel Angel De La Mora, DNP, PMHNP 1030 N Center Pkwy Ste 113, Kennewick, WA 99336-7160 Ph: (509) 910-4559	Dr Miguel Angel De La Mora, DNP, PMHNP 1030 N Center Pkwy Ste 113, Kennewick, WA 99336-7160 Ph: (509) 910-4559

Reviews and Comments

Nurse Practitioner Nurses in Kennewick, WA

Nichole Marie Green, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8656 W Gage Blvd Ste B203, Kennewick, WA 99336 Phone: 509-579-0109 Fax: 509-420-9851
Mrs. Stacey Ann Deschamps, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 N Colorado St, Suite D, Kennewick, WA 99336 Phone: 509-735-8600 Fax: 509-783-7354
Christine A Acker, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7201 W Grandridge Blvd, Suite 101, Kennewick, WA 99336 Phone: 509-735-2325 Fax: 509-735-3222
Ms. Marylu Helen Vait, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8901 W Gage Blvd, Kennewick, WA 99336 Phone: 509-735-1100 Fax: 509-735-1180
Debra K Macdonald, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 N Louisiana St # A737, Kennewick, WA 99336 Phone: 509-628-1958 Fax: 509-628-1959
Mrs. Bernadette Marie Mcbride, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2621 W Entiat Ave, Kennewick, WA 99336 Phone: 509-460-0642
Mandy Renee Schiefelbein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6710 W Okanogan Pl, Kennewick, WA 99336 Phone: 509-942-2528 Fax: 509-783-2008

Dr Miguel Angel De La Mora, DNP, PMHNP - Medicare Nurse Practitioner in Kennewick, WA