Mary L Borgstadt, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Auburn, Washington. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bastion Health Pc and her current practice location is
735 12th St Se, Auburn, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 876-7990.
Mary L Borgstadt is licensed to practice in Washington (license number AP30006913) 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 1407828569.
Physician's Profile
| Full Name | Mary L Borgstadt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 25 Years |
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| Location | 735 12th St Se, Auburn, 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. |
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Medical Education and Training:
- Mary L Borgstadt graduated from medical school in 1999
NPI Data:
- NPI Number: 1407828569
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 05/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 6305885260
- Enrollment ID: I20050429000272
Medical Identifiers
Medical identifiers for Mary L Borgstadt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407828569 | NPI | - | NPPES |
| 9645029 | Medicaid | WA | |
| P0026399 | Other | WA | RAIL ROAD MEDICARE |
| 7235BO | Other | WA | INDIVIDUAL BLUE SHIED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | RN00157592 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP30006913 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bastion Health Pc | 1557790896 | 28 |
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. Mary L Borgstadt allows following entities to bill medicare on her behalf.
| Entity Name | Bastion Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750921193
PECOS PAC ID: 1557790896
Enrollment ID: O20200407002530 |
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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. Mary L Borgstadt 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 |
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Mary L Borgstadt, ARNP
735 12th St Se,
Auburn, WA 98002-6709
Ph: (253) 876-7990 | Mary L Borgstadt, ARNP
735 12th St Se,
Auburn, WA 98002-6709
Ph: (253) 876-7990 |
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