Jacky Kingsada, NP in Issaquah, WA - Medicare Nurse Practitioner

Jacky Kingsada, NP is a medicare enrolled "Nurse Practitioner - Family" in Issaquah, Washington. Her current practice location is 195 Ne Gilman Blvd Ste 200, Issaquah, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 204-9386.

Jacky Kingsada is licensed to practice in Washington (license number AP61412255) 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 1538867882.

Contact Information

	Jacky Kingsada, NP
	195 Ne Gilman Blvd Ste 200, Issaquah, WA 98027-2940
	(253) 204-9386
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacky Kingsada
Gender	Female
Speciality	Nurse Practitioner - Family
Location	195 Ne Gilman Blvd Ste 200, Issaquah, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538867882
Provider Enumeration Date: 02/16/2023
Last Update Date: 02/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8224489513
Enrollment ID: I20240111001011

Medical Identifiers

Medical identifiers for Jacky Kingsada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538867882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP61412255 (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. Jacky Kingsada 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

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. Jacky Kingsada 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
Jacky Kingsada, NP 314 8th Ave N, Algona, WA 98001-4305 Ph: (253) 204-9386	Jacky Kingsada, NP 195 Ne Gilman Blvd Ste 200, Issaquah, WA 98027-2940 Ph: (253) 204-9386

Reviews and Comments

Nurse Practitioner Nurses in Issaquah, WA

Stephanie Caroline Ouellet, RN, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564
Jayne K Ciarlanti, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Front St S, Issaquah, WA 98027 Phone: 425-392-1271
Madeline Paige Gottlieb, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 Mt Rainier Pl Nw, Issaquah, WA 98027 Phone: 425-443-8859
Keesha Ewers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 5th Ave Nw, Issaquah, WA 98027 Phone: 425-391-3376
Keya Chisholm, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Gilman Blvd, Suite 201, Issaquah, WA 98027 Phone: 425-391-0705 Fax: 425-391-9562
Shaily Arya, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 805 Front St S, Issaquah, WA 98027 Phone: 425-392-1271
Kristi Lynn Goings, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 1st Pl Nw Ste A, Issaquah, WA 98027 Phone: 425-651-4242

Jacky Kingsada, NP - Medicare Nurse Practitioner in Issaquah, WA