Jesse C Moline, ARNP in Bellingham, WA - Medicare Nurse Practitioner

Jesse C Moline, ARNP is a medicare enrolled "Nurse Practitioner" in Bellingham, Washington. His current practice location is 3600 Meridian St, Bellingham, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 676-6000.

Jesse C Moline is licensed to practice in Washington (license number AP61428603) 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 1639783079.

Contact Information

	Jesse C Moline, ARNP
	3600 Meridian St, Bellingham, WA 98225-1732
	(360) 676-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jesse C Moline
Gender	Male
Speciality	Nurse Practitioner
Location	3600 Meridian St, Bellingham, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639783079
Provider Enumeration Date: 09/02/2020
Last Update Date: 05/02/2023

Medicare PECOS Information:

PECOS PAC ID: 3274999651
Enrollment ID: I20230510002945

Medical Identifiers

Medical identifiers for Jesse C Moline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639783079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	WA60932064 (Washington)	Secondary
363L00000X	Nurse Practitioner	AP61428603 (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. Jesse C Moline allows following entities to bill medicare on his behalf.

Entity Name	Lake Whatcom Residential & Treatment Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043281736 PECOS PAC ID: 8820068661 Enrollment ID: O20040728001462

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. Jesse C Moline 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
Jesse C Moline, ARNP 3600 Meridian St, Bellingham, WA 98225-1732 Ph: (360) 676-6000	Jesse C Moline, ARNP 3600 Meridian St, Bellingham, WA 98225-1732 Ph: (360) 676-6000

Reviews and Comments

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Jesse C Moline, ARNP - Medicare Nurse Practitioner in Bellingham, WA