Jessy Krallum, FNP-C in Tacoma, WA - Medicare Nurse Practitioner

Jessy Krallum, FNP-C is a medicare enrolled "Nurse Practitioner" in Tacoma, Washington. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Dispatchhealth Washington Pc and his current practice location is 6240 Tacoma Mall Blvd Ste 101, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 271-9720.

Jessy Krallum is licensed to practice in Washington (license number AP61044253) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508498015.

Contact Information

	Jessy Krallum, FNP-C
	6240 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6819
	(253) 271-9720
	(720) 598-0440

Map and Direction

Provider's Profile

Full Name	Jessy Krallum
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	6240 Tacoma Mall Blvd Ste 101, Tacoma, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessy Krallum graduated from nursing school in 2019

NPI Data:

NPI Number: 1508498015
Provider Enumeration Date: 02/12/2020
Last Update Date: 04/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5395175566
Enrollment ID: I20200501000351

Medical Identifiers

Medical identifiers for Jessy Krallum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508498015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202001367NP-PP (Oregon)	Secondary
363L00000X	Nurse Practitioner	AP61044253 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dispatchhealth Washington Pc	2062765423	61

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. Jessy Krallum allows following entities to bill medicare on his 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	Dispatchhealth Washington Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013490507 PECOS PAC ID: 2062765423 Enrollment ID: O20181101000471

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. Jessy Krallum 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
Jessy Krallum, FNP-C 6240 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6819 Ph: (253) 271-9720	Jessy Krallum, FNP-C 6240 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6819 Ph: (253) 271-9720

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

Jessy Krallum, FNP-C - Medicare Nurse Practitioner in Tacoma, WA