Princewill Fonta, PMHNP - Medicare Nurse Practitioner in Olympia, WA

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Princewill Fonta, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Olympia, Washington. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northeast Behavioral Health Llc, Cornerstone Wellness Center Pc and his current practice location is 711 State Ave Ne, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 943-0780.

Princewill Fonta is licensed to practice in Washington (license number AP70059722) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1710612239.

Contact Information

Princewill Fonta, PMHNP
711 State Ave Ne,
Olympia, WA 98506-3984
(360) 943-0780
Not Available

Map and Direction




Provider's Profile

Full NamePrincewill Fonta
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location711 State Ave Ne, Olympia, Washington
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Princewill Fonta graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1710612239
  • Provider Enumeration Date: 07/19/2022
  • Last Update Date: 05/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0648644831
  • Enrollment ID: I20230330001886

Medical Identifiers

Medical identifiers for Princewill Fonta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710612239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health L8-0010342 (Delaware)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP70059722 (Washington)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN2307255 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southcoast Hospital Group, IncFall river, MAHospital

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. Princewill Fonta allows following entities to bill medicare on his behalf.
Entity NameSouth Shore Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770528317
PECOS PAC ID: 4082508429
Enrollment ID: O20040226000168
Entity NameChild & Family Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205813540
PECOS PAC ID: 9234116583
Enrollment ID: O20040812000815
Entity NameNortheast Behavioral Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275920001
PECOS PAC ID: 7517287444
Enrollment ID: O20160607001920
Entity NameOlivier Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316198690
PECOS PAC ID: 0042507790
Enrollment ID: O20160922002142
Entity NameCornerstone Wellness Center PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285418681
PECOS PAC ID: 2163873704
Enrollment ID: O20240109000989
Entity NameMovement Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265267231
PECOS PAC ID: 9436683430
Enrollment ID: O20241113003862

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. Princewill Fonta 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 AddressPractice Location Address
Princewill Fonta, PMHNP
711 State Ave Ne,
Olympia, WA 98506-3984

Ph: (360) 943-0780		Princewill Fonta, PMHNP
711 State Ave Ne,
Olympia, WA 98506-3984

Ph: (360) 943-0780

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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