Fa Abigail C De Imus, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Marysville, Washington. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Providence Health And Services- Washington and her current practice location is
2901 174th St Ne, Marysville, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 454-1941.
Fa Abigail C De Imus is licensed to practice in Washington (license number 38739) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265498901.
Physician's Profile
Full Name | Fa Abigail C De Imus |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 31 Years |
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Location | 2901 174th St Ne, Marysville, Washington |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Fa Abigail C De Imus graduated from medical school in 1993
NPI Data:
- NPI Number: 1265498901
- Provider Enumeration Date: 04/21/2006
- Last Update Date: 02/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375443203
- Enrollment ID: I20040108001120
Medical Identifiers
Medical identifiers for Fa Abigail C De Imus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265498901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 38739 (Washington) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Health And Services- Washington | 8325100480 | 424 |
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. Fa Abigail C De Imus allows following entities to bill medicare on her behalf.
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
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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. Fa Abigail C De Imus 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 |
Fa Abigail C De Imus, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Fa Abigail C De Imus, MD 2901 174th St Ne, Marysville, WA 98271-4743 Ph: (360) 454-1941 |
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