Dr Rachelle Vicencio, MD in Tacoma, WA

Dr Rachelle Vicencio, MD is a medicare enrolled "Pediatrics" physician in Tacoma, Washington. Her current practice location is 1608 S J St, Floor 2, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 274-7503.

Dr Rachelle Vicencio is licensed to practice in Washington (license number MD60580586) 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 1629260534.

Contact Information

	Dr Rachelle Vicencio, MD
	1608 S J St, Floor 2, Tacoma, WA 98405-4930
	(253) 274-7503
	(253) 274-7993

Map and Direction

Physician's Profile

Full Name	Dr Rachelle Vicencio
Gender	Female
Speciality	Pediatrics
Location	1608 S J St, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629260534
Provider Enumeration Date: 08/14/2007
Last Update Date: 11/25/2015

Medicare PECOS Information:

PECOS PAC ID: 8426230335
Enrollment ID: I20151023001940

Medical Identifiers

Medical identifiers for Dr Rachelle Vicencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629260534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD60580586 (Washington)	Primary
208000000X	Pediatrics	8456A (Wyoming)	Secondary

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 Rachelle Vicencio allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

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 Rachelle Vicencio 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 Rachelle Vicencio, MD 1608 S J St, Floor 2, Tacoma, WA 98405-4930 Ph: (253) 274-7503	Dr Rachelle Vicencio, MD 1608 S J St, Floor 2, Tacoma, WA 98405-4930 Ph: (253) 274-7503

Reviews and Comments

Pediatrics Doctors in Tacoma, WA

David Lee Robinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252
Nan Shin, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405 Phone: 253-593-2144 Fax: 253-280-9881
Arthur L Walter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pediatric Extended Care Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-3066
Bradley Stanton Hood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 S L St, Tacoma, WA 98405 Phone: 253-403-1540
Kirk N. Liesemer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3066
Christopher Anthony Bellotti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 603 S J St Ste 102, Tacoma, WA 98405 Phone: 253-396-4868 Fax: 253-396-4870
Dr. Michael Timothy Alston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300

Dr Rachelle Vicencio, MD - Medicare Pediatrics in Tacoma, WA