Salome Odja Dockendorf, in Tacoma, WA - Medicare Nurse Practitioner

Salome Odja Dockendorf, is a medicare enrolled "Nurse Practitioner - Family" in Tacoma, Washington. Her current practice location is 1201 Pacific Ave Ste 19501201, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (812) 870-6728.

Salome Odja Dockendorf is licensed to practice in Washington (license number AP61008318) 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 1003467127.

Contact Information

	Salome Odja Dockendorf,
	1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301
	(812) 870-6728
	Not Available

Map and Direction

Provider's Profile

Full Name	Salome Odja Dockendorf
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1201 Pacific Ave Ste 19501201, 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: 1003467127
Provider Enumeration Date: 09/20/2019
Last Update Date: 11/23/2019

Medicare PECOS Information:

PECOS PAC ID: 2264869098
Enrollment ID: I20200217002581

Medical Identifiers

Medical identifiers for Salome Odja Dockendorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003467127	NPI	-	NPPES
1003467127	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP61008318 (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. Salome Odja Dockendorf allows following entities to bill medicare on her behalf.

Entity Name	Swenson Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154833804 PECOS PAC ID: 0547520751 Enrollment ID: O20180208001708

Entity Name	Daiya Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20190501001702

Entity Name	Post Acute Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20200507000939

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. Salome Odja Dockendorf 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
Salome Odja Dockendorf, 5150 Nw Whisper St, Silverdale, WA 98383-8338 Ph: () -	Salome Odja Dockendorf, 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 Ph: (812) 870-6728

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

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

Salome Odja Dockendorf, - Medicare Nurse Practitioner in Tacoma, WA