Dr Dorellie A Owusu, DO is a medicare enrolled "Internal Medicine" physician in Mountlake Terrace, Washington. Her current practice location is
24360 Van Ry Blvd Ste 111, Mountlake Terrace, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 520-5000.
Dr Dorellie A Owusu is licensed to practice in Washington (license number OP61452181) 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 1114554706.
Physician's Profile
Full Name | Dr Dorellie A Owusu |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 24360 Van Ry Blvd Ste 111, Mountlake Terrace, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114554706
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 08/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143645838
- Enrollment ID: I20230822000661
Medical Identifiers
Medical identifiers for Dr Dorellie A Owusu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114554706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OP61452181 (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 Dorellie A Owusu allows following entities to bill medicare on her behalf.
Entity Name | The Association Of University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
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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 Dorellie A Owusu 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 Dorellie A Owusu, DO Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700 | Dr Dorellie A Owusu, DO 24360 Van Ry Blvd Ste 111, Mountlake Terrace, WA 98043-5457 Ph: (206) 520-5000 |
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