Karl Rafe Riecken, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tacoma, Washington. His current practice location is
1202 Martin Luther King Jr Way, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 442-8718.
Karl Rafe Riecken is licensed to practice in * (Not Available) (license number ) 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 1255911889.
Physician's Profile
Full Name | Karl Rafe Riecken |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1202 Martin Luther King Jr Way, Tacoma, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255911889
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 12/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062810120
- Enrollment ID: I20211005000800
Medical Identifiers
Medical identifiers for Karl Rafe Riecken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255911889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | DOL.OP.61499713 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Karl Rafe Riecken 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 |
Karl Rafe Riecken, DO 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 Ph: (253) 442-8718 | Karl Rafe Riecken, DO 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 Ph: (253) 442-8718 |
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