Dr Jacob Alex Mathew Varghese, MD - Medicare Pediatrics in Monroe, WA

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Dr Jacob Alex Mathew Varghese, MD is a medicare enrolled "Pediatrics" physician in Monroe, Washington. His current practice location is 19200 N Kelsey St, Monroe, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 794-7994.

Dr Jacob Alex Mathew Varghese is licensed to practice in Washington (license number MD60523725) 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 1922196013.

Contact Information

Dr Jacob Alex Mathew Varghese, MD
19200 N Kelsey St,
Monroe, WA 98272-1431
(360) 794-7994
(360) 805-4757

Map and Direction




Physician's Profile

Full NameDr Jacob Alex Mathew Varghese
GenderMale
SpecialityPediatrics
Location19200 N Kelsey St, Monroe, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922196013
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 04/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012935703
  • Enrollment ID: I20150219000373

Medical Identifiers

Medical identifiers for Dr Jacob Alex Mathew Varghese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922196013NPI-NPPES
942854057014MedicaidUT
942854058940MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD419174 (Pennsylvania)Secondary
208000000XPediatrics 57074561205 (Utah)Secondary
208000000XPediatrics MD60523725 (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 Jacob Alex Mathew Varghese allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111

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 Jacob Alex Mathew Varghese 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 AddressPractice Location Address
Dr Jacob Alex Mathew Varghese, MD
Po Box 3360,
Portland, OR 97208-3360

Ph: (866) 366-2983		Dr Jacob Alex Mathew Varghese, MD
19200 N Kelsey St,
Monroe, WA 98272-1431

Ph: (360) 794-7994

Reviews and Comments


Pediatrics Doctors in Monroe, WA

Beena L. Morris, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 19200 N Kelsey St, Monroe, WA 98272
Phone: 360-794-7994    Fax: 360-805-4757
Badrossadat Madani, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 14701 179th Ave Se, Monroe, WA 98272
Phone: 360-863-4664    Fax: 360-860-4663

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.