Audrey L Cavins-ezell, APRN in Tukwila, WA - Medicare Nurse Practitioner

Audrey L Cavins-ezell, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tukwila, Washington. His current practice location is 16000 Christensen Rd Ste 200, Tukwila, Washington. You can reach out to his office (for appointments etc.) via phone at (833) 719-0886.

Audrey L Cavins-ezell is licensed to practice in Washington (license number AP61025837) 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 1154899805.

Contact Information

	Audrey L Cavins-ezell, APRN
	16000 Christensen Rd Ste 200, Tukwila, WA 98188-2925
	(833) 719-0886
	Not Available

Map and Direction

Provider's Profile

Full Name	Audrey L Cavins-ezell
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	16000 Christensen Rd Ste 200, Tukwila, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154899805
Provider Enumeration Date: 11/10/2018
Last Update Date: 04/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3971848839
Enrollment ID: I20200303002665

Medical Identifiers

Medical identifiers for Audrey L Cavins-ezell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154899805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3012865 (Kentucky)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61025837 (Washington)	Primary

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. Audrey L Cavins-ezell allows following entities to bill medicare on his behalf.

Entity Name	Rainier Springs Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306321237 PECOS PAC ID: 0547514549 Enrollment ID: O20181109001590

Entity Name	Harbor Youth And Family Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205466265 PECOS PAC ID: 7012338981 Enrollment ID: O20200601002016

Entity Name	Eleanor Health Professional Wa Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043827132 PECOS PAC ID: 2365855210 Enrollment ID: O20210113002320

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. Audrey L Cavins-ezell 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
Audrey L Cavins-ezell, APRN Po Box 257, Olympia, WA 98507-0257 Ph: () -	Audrey L Cavins-ezell, APRN 16000 Christensen Rd Ste 200, Tukwila, WA 98188-2925 Ph: (833) 719-0886

Reviews and Comments

Nurse Practitioner Nurses in Tukwila, WA

Ms. Jennifer T Hardgrove, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188 Phone: 206-466-5410 Fax: 206-721-1287
Lauren Buckham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13030 Military Rd S Ste 200, Tukwila, WA 98168 Phone: 206-439-3289
Dr. Tofik Sergaga Shkrea, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12844 Military Rd S, Tukwila, WA 98168 Phone: 206-372-3784
Cindy Bello-utu, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Fort Dent Way Ste 220, Tukwila, WA 98188 Phone: 425-640-7009 Fax: 425-640-9600
Diane E Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13030 Military Rd S, Suite # 210, Tukwila, WA 98168 Phone: 206-242-6500 Fax: 206-246-7946
Mr. Charles Allen Wiley, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12400 E Marginal Way S, Tukwila, WA 98168 Phone: 206-901-8801
Gemy George, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12844 Military Rd S, Tukwila, WA 98168 Phone: 425-586-0941

Audrey L Cavins-ezell, APRN - Medicare Nurse Practitioner in Tukwila, WA