Jennifer Ellyn Souders, MD - Medicare Anesthesiology in Mountlake Terrace, WA

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Jennifer Ellyn Souders, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Mountlake Terrace, Washington. Her current practice location is 6808 220th St Sw, North Start Place, Ste 201, Mountlake Terrace, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 640-6976.

Jennifer Ellyn Souders is licensed to practice in Washington (license number MD00029678) 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 1922360940.

Contact Information

Jennifer Ellyn Souders, MD
6808 220th St Sw, North Start Place, Ste 201,
Mountlake Terrace, WA 98043-2187
(425) 640-6976
(425) 640-6977

Map and Direction




Physician's Profile

Full NameJennifer Ellyn Souders
GenderFemale
SpecialityAnesthesiology - Pain Medicine
Location6808 220th St Sw, Mountlake Terrace, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922360940
  • Provider Enumeration Date: 06/14/2012
  • Last Update Date: 07/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8224287818
  • Enrollment ID: I20120925000280

Medical Identifiers

Medical identifiers for Jennifer Ellyn Souders such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922360940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP2900XAnesthesiology - Pain Medicine MD00029678 (Washington)Primary
207L00000XAnesthesiology MD00029678 (Washington)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. Jennifer Ellyn Souders allows following entities to bill medicare on her behalf.
Entity NameProliance Surgeons Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023170313
PECOS PAC ID: 8527972900
Enrollment ID: O20031119000128

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. Jennifer Ellyn Souders 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
Jennifer Ellyn Souders, MD
805 Madison St, Suite 901,
Seattle, WA 98104-1172

Ph: (206) 264-8100		Jennifer Ellyn Souders, MD
6808 220th St Sw, North Start Place, Ste 201,
Mountlake Terrace, WA 98043-2187

Ph: (425) 640-6976

Reviews and Comments


Anesthesiology Doctors in Mountlake Terrace, WA

Geoffrey Louis Tyson, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6808 220th St Sw Ste 201, Mountlake Terrace, WA 98043
Phone: 360-839-6778    

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.