Fonabei Ayongaba, in Lacey, WA - Medicare Nurse Practitioner

Fonabei Ayongaba, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lacey, Washington. His current practice location is 605 Woodland Square Loop Se, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at (844) 949-8888.

Fonabei Ayongaba is licensed to practice in Washington (license number AP61475276) 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 1104532944.

Contact Information

	Fonabei Ayongaba,
	605 Woodland Square Loop Se, Lacey, WA 98503-1045
	(844) 949-8888
	Not Available

Map and Direction

Provider's Profile

Full Name	Fonabei Ayongaba
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	605 Woodland Square Loop Se, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104532944
Provider Enumeration Date: 01/25/2023
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8325497944
Enrollment ID: I20231207003943

Medical Identifiers

Medical identifiers for Fonabei Ayongaba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104532944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN61094794 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61475276 (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. Fonabei Ayongaba allows following entities to bill medicare on his behalf.

Entity Name	Telecare Mental Health Services Of Washington, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780913657 PECOS PAC ID: 5698804409 Enrollment ID: O20100603000217

Entity Name	Vest Thurston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336605849 PECOS PAC ID: 0648512459 Enrollment ID: O20190701002488

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. Fonabei Ayongaba 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
Fonabei Ayongaba, 325 W Gowe St, Kent, WA 98032-5892 Ph: (253) 833-7444	Fonabei Ayongaba, 605 Woodland Square Loop Se, Lacey, WA 98503-1045 Ph: (844) 949-8888

Reviews and Comments

Nurse Practitioner Nurses in Lacey, WA

Cynthia A Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 Fax: 360-413-6509
Sheree Harvey, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840
Jodi Fischer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090
Carrie Welty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516 Phone: 360-413-4200
Consilia Samkia Yeluma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-8951
Mr. Prachanda Khadka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225
Meghan Neal, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312

Fonabei Ayongaba, - Medicare Nurse Practitioner in Lacey, WA