Dr Blesilda A Mamerto, MD in Medical Lake, WA

Dr Blesilda A Mamerto, MD is a medicare enrolled "Family Medicine" physician in Medical Lake, Washington. Her current practice location is 800 West Maple Street, Medical Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 299-3121.

Dr Blesilda A Mamerto is licensed to practice in Washington (license number MD00022291) 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 1801878756.

Contact Information

	Dr Blesilda A Mamerto, MD
	800 West Maple Street, Medical Lake, WA 99022-0800
	(509) 299-3121
	(509) 299-7015

Map and Direction

Physician's Profile

Full Name	Dr Blesilda A Mamerto
Gender	Female
Speciality	Family Medicine
Location	800 West Maple Street, Medical Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801878756
Provider Enumeration Date: 11/16/2005
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5799731519
Enrollment ID: I20050324000811

Medical Identifiers

Medical identifiers for Dr Blesilda A Mamerto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801878756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00022291 (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. Dr Blesilda A Mamerto allows following entities to bill medicare on her behalf.

Entity Name	Department Of Social Dept Of Shs Div Of Instns
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467440602 PECOS PAC ID: 9133013725 Enrollment ID: O20040213000028

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. Dr Blesilda A Mamerto 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
Dr Blesilda A Mamerto, MD Po Box 800, 800 West Maple Street, Medical Lake, WA 99022-0800 Ph: (509) 299-3121	Dr Blesilda A Mamerto, MD 800 West Maple Street, Medical Lake, WA 99022-0800 Ph: (509) 299-3121

Reviews and Comments

Family Medicine Doctors in Medical Lake, WA

Dr. Suzanne D. Peregoy, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Dr. Ted Y Toribara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015
Thomas A. Crisp Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Steven W. Palmieri, PHD, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Douglas R Gwinn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 N Stanley St, Suite D, Medical Lake, WA 99022 Phone: 509-838-2531
Dr. Eric D. Dant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705

Dr Blesilda A Mamerto, MD - Medicare Family Medicine in Medical Lake, WA