Dr Eileen Louise Poupore, NP in Tacoma, WA - Medicare Nurse Practitioner

Dr Eileen Louise Poupore, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tacoma, Washington. Her current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 968-4848.

Dr Eileen Louise Poupore is licensed to practice in Washington (license number AP30006358) 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 1639158223.

Contact Information

	Dr Eileen Louise Poupore, NP
	9040 Jackson Ave, Tacoma, WA 98433-9500
	(253) 968-4848
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Eileen Louise Poupore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639158223
Provider Enumeration Date: 01/11/2006
Last Update Date: 06/13/2016

Medicare PECOS Information:

PECOS PAC ID: 0941292395
Enrollment ID: I20040402001046

Medical Identifiers

Medical identifiers for Dr Eileen Louise Poupore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639158223	NPI	-	NPPES
9635384	Medicaid	WA
8938321	Other	WA	CRIME VICTIMS
0618PO	Other	WA	REGENCE BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP30006358 (Washington)	Primary
363LP2300X	Nurse Practitioner - Primary Care	AP30006358 (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. Dr Eileen Louise Poupore allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Greater Lakes Mental Health Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162

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. Dr Eileen Louise Poupore 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
Dr Eileen Louise Poupore, NP 3205 88th St E, Tacoma, WA 98446-2507 Ph: (253) 312-8923	Dr Eileen Louise Poupore, NP 9040 Jackson Ave, Tacoma, WA 98433-9500 Ph: (253) 968-4848

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191

Dr Eileen Louise Poupore, NP - Medicare Nurse Practitioner in Tacoma, WA