Vivian Kisanga, PMHNP-BC in Puyallup, WA - Medicare Nurse Practitioner

Vivian Kisanga, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Puyallup, Washington. Her current practice location is 18715 106th Avenue Ct E, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 759-0207.

Vivian Kisanga is licensed to practice in Washington (license number AP61183787) 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 1821530155.

Contact Information

	Vivian Kisanga, PMHNP-BC
	18715 106th Avenue Ct E, Puyallup, WA 98374-8735
	(206) 759-0207
	Not Available

Map and Direction

Provider's Profile

Full Name	Vivian Kisanga
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	18715 106th Avenue Ct E, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821530155
Provider Enumeration Date: 11/17/2016
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1456632447
Enrollment ID: I20170105002307

Medical Identifiers

Medical identifiers for Vivian Kisanga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821530155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP132350 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61183787 (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. Vivian Kisanga allows following entities to bill medicare on her behalf.

Entity Name	Satish Narayan Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659538775 PECOS PAC ID: 7113086018 Enrollment ID: O20081106000794

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. Vivian Kisanga 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
Vivian Kisanga, PMHNP-BC 18715 106th Avenue Ct E Ste 260, Puyallup, WA 98374-8735 Ph: (817) 657-5107	Vivian Kisanga, PMHNP-BC 18715 106th Avenue Ct E, Puyallup, WA 98374-8735 Ph: (206) 759-0207

Reviews and Comments

Nurse Practitioner Nurses in Puyallup, WA

Melinda Moore, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674
Oscar Herrera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450
Mackenzie Annette Schumann, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-447-1641

Vivian Kisanga, PMHNP-BC - Medicare Nurse Practitioner in Puyallup, WA