Warren Shadko, PMHNP-BC in Kirkland, WA - Medicare Nurse Practitioner

Warren Shadko, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kirkland, Washington. His current practice location is 11335 Ne 122nd Way Ste 105, Kirkland, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 298-7480.

Warren Shadko is licensed to practice in Washington (license number AP61098454) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538709092.

Contact Information

	Warren Shadko, PMHNP-BC
	11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933
	(425) 298-7480
	Not Available

Map and Direction

Provider's Profile

Full Name	Warren Shadko
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11335 Ne 122nd Way Ste 105, Kirkland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538709092
Provider Enumeration Date: 01/13/2020
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8224459011
Enrollment ID: I20220708002949

Medical Identifiers

Medical identifiers for Warren Shadko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538709092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	277126 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5012834 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	836257 (Nevada)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61098454 (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. Warren Shadko allows following entities to bill medicare on his behalf.

Entity Name	American Behavioral Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962991661 PECOS PAC ID: 9335550052 Enrollment ID: O20201201000748

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. Warren Shadko 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
Warren Shadko, PMHNP-BC 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 Ph: (425) 298-7480	Warren Shadko, PMHNP-BC 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 Ph: (425) 298-7480

Reviews and Comments

Nurse Practitioner Nurses in Kirkland, WA

Ms. Xuemei Su, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034 Phone: 425-899-4692
Salome Mosses, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034 Phone: 781-248-8996
Jessica Shdo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13718 100th Ave Ne, Kirkland, WA 98034 Phone: 425-814-4888
Mario Mata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000
Ms. Melissa Ann Barclay, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13122 120th Ave Ne, Kirkland, WA 98034 Phone: 425-678-8534 Fax: 425-678-8564
Graham Crozier, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Suite 1600, Kirkland, WA 98034 Phone: 425-899-3181
Barbara G Hallum, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12333 Ne 130th Ln, #302, Kirkland, WA 98034 Phone: 425-899-0555 Fax: 425-899-1333

Warren Shadko, PMHNP-BC - Medicare Nurse Practitioner in Kirkland, WA