Mrs Brenda Martinez Davila, RN in Lynnwood, WA

Mrs Brenda Martinez Davila, RN is a medicare enrolled "Nurse Practitioner - Family" in Lynnwood, Washington. Her current practice location is 4111 Alderwood Mall Blvd, Lynnwood, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 616-4100.

Mrs Brenda Martinez Davila is licensed to practice in Washington (license number AP61653139) 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 1124846266.

Contact Information

	Mrs Brenda Martinez Davila, RN
	4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765
	(425) 616-4100
	(425) 616-4115

Map and Direction

Provider's Profile

Full Name	Mrs Brenda Martinez Davila
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4111 Alderwood Mall Blvd, Lynnwood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124846266
Provider Enumeration Date: 09/27/2024
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 4587180682
Enrollment ID: I20250501002342

Medical Identifiers

Medical identifiers for Mrs Brenda Martinez Davila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124846266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN61249432 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	AP61653139 (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. Mrs Brenda Martinez Davila allows following entities to bill medicare on her behalf.

Entity Name	Sea Mar Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210

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. Mrs Brenda Martinez Davila 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
Mrs Brenda Martinez Davila, RN Po Box 34703, Seattle, WA 98124-1703 Ph: () -	Mrs Brenda Martinez Davila, RN 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 Ph: (425) 616-4100

Reviews and Comments

Nurse Practitioner Nurses in Lynnwood, WA

Mishele M Rutherford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20508 56th Ave W, Lynnwood, WA 98036 Phone: 206-743-1020
Mrs. Sejal Parekh Graber, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Shelby Rd Ste B, Lynnwood, WA 98087 Phone: 425-742-9119 Fax: 425-787-1055
Valerie Michele White, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4111 Alderwood Mall Blvd, Lynnwood, WA 98036 Phone: 425-616-4100
Amber Melland Wilson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 188th St Sw Ste 250, Lynnwood, WA 98037 Phone: 425-236-4203
Bridget Noorishad, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Shelby Rd Ste B, Lynnwood, WA 98087 Phone: 425-742-9119
Liqiong Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19401 40th Ave W Ste 230, Lynnwood, WA 98036 Phone: 425-744-7153
Jessie Enell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16824 44th Ave W Ste 170, Lynnwood, WA 98037 Phone: 425-908-0123 Fax: 844-446-9742

Mrs Brenda Martinez Davila, RN - Medicare Nurse Practitioner in Lynnwood, WA