Kelly Jeane Deyoung, RN in Tacoma, WA - Medicare Registered Nurse

Kelly Jeane Deyoung, RN is a medicare enrolled "Registered Nurse" in Tacoma, Washington. Her current practice location is 3901 S Fife St, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 301-6400.

Kelly Jeane Deyoung is licensed to practice in Washington (license number RN60089101) 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 1578177747.

Contact Information

	Kelly Jeane Deyoung, RN
	3901 S Fife St, Tacoma, WA 98409-7309
	(253) 301-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Jeane Deyoung
Gender	Female
Speciality	Registered Nurse
Location	3901 S Fife St, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578177747
Provider Enumeration Date: 09/03/2020
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0547616914
Enrollment ID: I20231023000960

Medical Identifiers

Medical identifiers for Kelly Jeane Deyoung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578177747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60089101 (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. Kelly Jeane Deyoung 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. Kelly Jeane Deyoung 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
Kelly Jeane Deyoung, RN 3901 S Fife St, Tacoma, WA 98409-7309 Ph: (253) 301-6400	Kelly Jeane Deyoung, RN 3901 S Fife St, Tacoma, WA 98409-7309 Ph: (253) 301-6400

Reviews and Comments

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Kelly Jeane Deyoung, RN - Medicare Registered Nurse in Tacoma, WA