Karen Lea Semones, MD - Medicare Family Practice in University Place, WA

Karen Lea Semones, MD is a medicare enrolled "Family Medicine" physician in University Place, Washington. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Franciscan Medical Group and her current practice location is 3556 Market Pl W Ste 109, University Place, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 215-1122.

Karen Lea Semones is licensed to practice in Washington (license number MD00047375) 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 1013018019.

Contact Information

Karen Lea Semones, MD
3556 Market Pl W Ste 109,
University Place, WA 98466-4339
(253) 215-1122
Not Available

Map and Direction




Physician's Profile

Full NameKaren Lea Semones
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location3556 Market Pl W Ste 109, University Place, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen Lea Semones graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1013018019
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 11/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5193808541
  • Enrollment ID: I20080208000304

Medical Identifiers

Medical identifiers for Karen Lea Semones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013018019NPI-NPPES
1054563MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 24101 (Oklahoma)Secondary
207Q00000XFamily Medicine MD00047375 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterTacoma, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Franciscan Medical Group05471738661173

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. Karen Lea Semones allows following entities to bill medicare on her behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Karen Lea Semones 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
Karen Lea Semones, MD
3556 Market Pl W Ste 109,
University Place, WA 98466-4339

Ph: (253) 215-1122
Karen Lea Semones, MD
3556 Market Pl W Ste 109,
University Place, WA 98466-4339

Ph: (253) 215-1122

Reviews and Comments


Family Medicine Doctors in University Place, WA

Dr. Michael Reid Jackson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5350 Orchard St W, Suite 202, University Place, WA 98467
Phone: 253-472-4444    Fax: 253-301-4360
Dr. Andrea Tiffany Friesen, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4114 Bridgeport Way W, University Place, WA 98466
Phone: 253-564-8100    Fax: 253-564-8387
Michael W Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7210 40th St W, Ste 100, University Place, WA 98466
Phone: 253-564-0170    Fax: 253-207-4240
Dr. Paul William Schmidt, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7210 40th St W Ste 100, University Place, WA 98466
Phone: 253-564-0170    Fax: 253-207-4240
Raphael U Peralta, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7210 40th St W Ste 100, University Place, WA 98466
Phone: 253-564-0170    
Dr. Robert Harrison Wilson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4401 Bridgeport Way W, Suite 100, University Place, WA 98466
Phone: 253-564-4157    Fax: 253-564-4813

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.