Jennifer Ellen Koukoumidis, MS in Seattle, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Jennifer Ellen Koukoumidis, MS is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seattle, Washington. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice The Association Of University Physicians and her current practice location is 1959 Ne Pacific St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 598-4260.

Jennifer Ellen Koukoumidis is licensed to practice in Washington (license number AP 60116013) 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 1679802862.

Contact Information

	Jennifer Ellen Koukoumidis, MS
	1959 Ne Pacific St, Seattle, WA 98195-0001
	(206) 598-4260
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Ellen Koukoumidis
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	1959 Ne Pacific St, Seattle, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer Ellen Koukoumidis graduated from nursing school in 2009

NPI Data:

NPI Number: 1679802862
Provider Enumeration Date: 12/16/2009
Last Update Date: 06/03/2016

Medicare PECOS Information:

PECOS PAC ID: 7810031937
Enrollment ID: I20100212000360

Medical Identifiers

Medical identifiers for Jennifer Ellen Koukoumidis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679802862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP 60116013 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Washington Medical Ctr	Seattle, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Association Of University Physicians	0446162697	3017

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. Jennifer Ellen Koukoumidis allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	University Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326002049 PECOS PAC ID: 3274445150 Enrollment ID: O20040105000544

Entity Name	Matrix Anesthesia, Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831146422 PECOS PAC ID: 3971403700 Enrollment ID: O20040109000422

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. Jennifer Ellen Koukoumidis 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
Jennifer Ellen Koukoumidis, MS 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (801) 718-6310	Jennifer Ellen Koukoumidis, MS 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 598-4260

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Seattle, WA

Timothy D Butterworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Mrs. Sara Beth Maples, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195 Phone: 206-598-4260
Simran Kennedy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104 Phone: 206-744-8491 Fax: 206-744-8009
Michael Mielniczek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000
Justin R. Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000
Peyton G. Lane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144

Jennifer Ellen Koukoumidis, MS - Medicare Certified Registered Nurse Anesthetist (crna) in Seattle, WA