Mr Victor Lao De Guzman Jr, AGACNP-BC, ACNPC-AG in Tacoma, WA

Mr Victor Lao De Guzman Jr, AGACNP-BC, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Gerontology" in Tacoma, Washington. His current practice location is 1717 S J St, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 426-6341.

Mr Victor Lao De Guzman Jr is licensed to practice in Washington (license number AP60951857) 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 1497234884.

Contact Information

	Mr Victor Lao De Guzman Jr, AGACNP-BC, ACNPC-AG
	1717 S J St, Tacoma, WA 98405-4933
	(253) 426-6341
	(253) 761-1040

Map and Direction

Provider's Profile

Full Name	Mr Victor Lao De Guzman Jr
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	1717 S J St, 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: 1497234884
Provider Enumeration Date: 08/07/2018
Last Update Date: 12/02/2020

Medicare PECOS Information:

PECOS PAC ID: 2860824216
Enrollment ID: I20191122002737

Medical Identifiers

Medical identifiers for Mr Victor Lao De Guzman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497234884	NPI	-	NPPES
2138777	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP60951857 (Washington)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	AP138293 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP60951857 (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 Victor Lao De Guzman Jr allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

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 Victor Lao De Guzman Jr 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 Victor Lao De Guzman Jr, AGACNP-BC, ACNPC-AG 1717 S J St, Tacoma, WA 98405-4933 Ph: (253) 426-6341	Mr Victor Lao De Guzman Jr, AGACNP-BC, ACNPC-AG 1717 S J St, Tacoma, WA 98405-4933 Ph: (253) 426-6341

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Medicare Enrolled 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 Victor Lao De Guzman Jr, AGACNP-BC, ACNPC-AG - Medicare Nurse Practitioner in Tacoma, WA