Mrs Desaree Wancho, APRN in Grandview, WA - Medicare Nurse Practitioner

Mrs Desaree Wancho, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grandview, Washington. Her current practice location is 222 E 2nd St, Grandview, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 203-6501.

Mrs Desaree Wancho is licensed to practice in Washington (license number AP61517837) 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 1629544697.

Contact Information

	Mrs Desaree Wancho, APRN
	222 E 2nd St, Grandview, WA 98930-1342
	(509) 203-6501
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Desaree Wancho
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	222 E 2nd St, Grandview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629544697
Provider Enumeration Date: 10/17/2018
Last Update Date: 03/07/2025

Medicare PECOS Information:

PECOS PAC ID: 3678918075
Enrollment ID: I20240410003954

Medical Identifiers

Medical identifiers for Mrs Desaree Wancho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629544697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61517837 (Washington)	Primary
163W00000X	Registered Nurse	RN60224977 (Washington)	Secondary

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 Desaree Wancho allows following entities to bill medicare on her 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

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 Desaree Wancho 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 Desaree Wancho, APRN Po Box 719, Sunnyside, WA 98944-0719 Ph: (509) 837-1617	Mrs Desaree Wancho, APRN 222 E 2nd St, Grandview, WA 98930-1342 Ph: (509) 203-6501

Reviews and Comments

Nurse Practitioner Nurses in Grandview, WA

Juliet Marie Dennis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Wallace Way, Grandview, WA 98930 Phone: 509-203-1080
Sandra Bravo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-439-1064
Careeta-jenee Anique Williams, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 N Euclid St, Grandview, WA 98930 Phone: 678-522-1504
Erica Garza, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 Wallace Way, Grandview, WA 98930 Phone: 509-203-1080 Fax: 509-203-1077
Sara Jerene Champoux Mcdonald, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 N Euclid Rd, Grandview, WA 98930 Phone: 509-882-1855
Stephanie Gibbons, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1907 W 2nd St, Grandview, WA 98930 Phone: 801-913-7271

Mrs Desaree Wancho, APRN - Medicare Nurse Practitioner in Grandview, WA