Viola G Medina, ARNP in Poulsbo, WA - Medicare Nurse Practitioner

Viola G Medina, ARNP is a medicare enrolled "Nurse Practitioner" in Poulsbo, Washington. Her current practice location is 19980 10th Ave Ne Ste 202, Poulsbo, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 979-0569.

Viola G Medina is licensed to practice in Washington (license number AP30004058) 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 1679629661.

Contact Information

	Viola G Medina, ARNP
	19980 10th Ave Ne Ste 202, Poulsbo, WA 98370-6322
	(360) 979-0569
	(877) 805-9505

Map and Direction

Provider's Profile

Full Name	Viola G Medina
Gender	Female
Speciality	Nurse Practitioner
Location	19980 10th Ave Ne Ste 202, Poulsbo, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679629661
Provider Enumeration Date: 01/25/2007
Last Update Date: 04/10/2019

Medicare PECOS Information:

PECOS PAC ID: 4486789104
Enrollment ID: I20100319000853

Medical Identifiers

Medical identifiers for Viola G Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679629661	NPI	-	NPPES
0039581	Other	WA	LABOR AND INDUSTRIES #
9619594	Medicaid	WA
0359072	Other	WA	LNI
US2510511	Other	WA	AETNA SPECIALIST PIN
7793ME	Other	WA	BLUE SHIELD #
500017809	Other	WA	RAILROAD MC#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP30004058 (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. Viola G Medina allows following entities to bill medicare on her behalf.

Entity Name	Chymiymattymd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982073235 PECOS PAC ID: 9133421597 Enrollment ID: O20151231001794

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. Viola G Medina 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
Viola G Medina, ARNP Po Box 2940, Poulsbo, WA 98370-2940 Ph: (360) 979-0569	Viola G Medina, ARNP 19980 10th Ave Ne Ste 202, Poulsbo, WA 98370-6322 Ph: (360) 979-0569

Reviews and Comments

Nurse Practitioner Nurses in Poulsbo, WA

Mark Richard Taylor, ANRP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22180 Olympic College Way Nw, Suite 102, Poulsbo, WA 98370 Phone: 360-779-4444 Fax: 360-697-2514
Debra S Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19500 10th Ave Ne Ste 100, Poulsbo, WA 98370 Phone: 360-598-7500
Holly Eve Hawks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22180 Olympic College Way Nw Ste 102, Poulsbo, WA 98370 Phone: 360-779-4444 Fax: 360-874-5959
Anne M Ledell-hong, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22180 Olympic College Way, Suite 102, Poulsbo, WA 98370 Phone: 360-779-4444 Fax: 360-697-2514
Harry E Ross, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18820 State Highway 305 Ne, Poulsbo, WA 98370 Phone: 360-394-0105
Cherese Combs, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21800 Market Pl Nw Ste 104&105, Poulsbo, WA 98370 Phone: 206-690-5962 Fax: 855-459-3020
Youngoak Kim Pryor, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20174 Front Street Ne, Poulsbo, WA 98370 Phone: 360-697-1141 Fax: 360-697-2395

Viola G Medina, ARNP - Medicare Nurse Practitioner in Poulsbo, WA