Mr Titus Koipaton Sairo, FNP-C in Tacoma, WA - Medicare Nurse Practitioner

Mr Titus Koipaton Sairo, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tacoma, Washington. His current practice location is 1201 Pacific Ave Ste 400, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 300-8453.

Mr Titus Koipaton Sairo is licensed to practice in Washington (license number 61004280) 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 1528510898.

Contact Information

	Mr Titus Koipaton Sairo, FNP-C
	1201 Pacific Ave Ste 400, Tacoma, WA 98402-4381
	(253) 300-8453
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Titus Koipaton Sairo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1201 Pacific Ave Ste 400, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528510898
Provider Enumeration Date: 11/02/2016
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 9739512898
Enrollment ID: I20191203001471

Medical Identifiers

Medical identifiers for Mr Titus Koipaton Sairo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528510898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP131522 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	RN188920 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	61004280 (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 Titus Koipaton Sairo allows following entities to bill medicare on his behalf.

Entity Name	Sunnyside Community Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194

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	Shc Medical Center Toppenish
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921

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 Titus Koipaton Sairo 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 Titus Koipaton Sairo, FNP-C 315 Boulevard Ne Ste 310, Atlanta, GA 30312-1264 Ph: (678) 371-8222	Mr Titus Koipaton Sairo, FNP-C 1201 Pacific Ave Ste 400, Tacoma, WA 98402-4381 Ph: (253) 300-8453

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191

Mr Titus Koipaton Sairo, FNP-C - Medicare Nurse Practitioner in Tacoma, WA