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

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 Name	Princewill Fonta
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	711 State Ave Ne, Olympia, Washington
Accepts Medicare Assignments	May 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.

Identifier	Type	State	Issuer
1710612239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0010342 (Delaware)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP70059722 (Washington)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2307255 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southcoast Hospitals Group	Fall river, MA	Hospital

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 Name	South Shore Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770528317 PECOS PAC ID: 4082508429 Enrollment ID: O20040226000168

Entity Name	Child & Family Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205813540 PECOS PAC ID: 9234116583 Enrollment ID: O20040812000815

Entity Name	Olivier Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316198690 PECOS PAC ID: 0042507790 Enrollment ID: O20160922002142

Entity Name	Vinfen Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225168271 PECOS PAC ID: 8729336870 Enrollment ID: O20200916002885

Entity Name	Cornerstone Wellness Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285418681 PECOS PAC ID: 2163873704 Enrollment ID: O20240109000989

Entity Name	Movement Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Nurse Practitioner Nurses in Olympia, WA

Karen Yepez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-413-8272 Fax: 360-413-8878
Sydney Pfefer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3620 Ensign Rd Ne Ste B, Olympia, WA 98506 Phone: 360-884-0052
Czarina Urani Darden, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Ensign Rd Ne Ste B, Olympia, WA 98506 Phone: 253-572-7320
Ms. Melinda Anne Harris-moulton, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5201 Dolphin Ln Nw, Olympia, WA 98502 Phone: 360-866-8143
Michelle Jennings Hood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 400, Olympia, WA 98502 Phone: 360-705-1259
Caitlin R Rabey, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw, Olympia, WA 98502 Phone: 360-709-6230
Alyssa Garrett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-459-1700

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