Kouassi Kan Boua Lazare Assie, NURSE PRACTITIONER in Kirkland, WA

Kouassi Kan Boua Lazare Assie, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kirkland, Washington. His current practice location is 13806 123rd Ave Ne, Kirkland, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 384-2222.

Kouassi Kan Boua Lazare Assie is licensed to practice in Washington (license number AP61440338) 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 1790460178.

Contact Information

	Kouassi Kan Boua Lazare Assie, NURSE PRACTITIONER
	13806 123rd Ave Ne, Kirkland, WA 98034-2248
	(206) 384-2222
	(425) 968-1999

Map and Direction

Provider's Profile

Full Name	Kouassi Kan Boua Lazare Assie
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13806 123rd Ave Ne, Kirkland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790460178
Provider Enumeration Date: 06/21/2023
Last Update Date: 04/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9739538000
Enrollment ID: I20231212001642

Medical Identifiers

Medical identifiers for Kouassi Kan Boua Lazare Assie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790460178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61440338 (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. Kouassi Kan Boua Lazare Assie allows following entities to bill medicare on his behalf.

Entity Name	Heramba Mental Healthcare, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265150478 PECOS PAC ID: 0749647857 Enrollment ID: O20231128002285

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. Kouassi Kan Boua Lazare Assie 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
Kouassi Kan Boua Lazare Assie, NURSE PRACTITIONER 1202 Berilla Dr, Enumclaw, WA 98022-8426 Ph: (206) 384-2222	Kouassi Kan Boua Lazare Assie, NURSE PRACTITIONER 13806 123rd Ave Ne, Kirkland, WA 98034-2248 Ph: (206) 384-2222

Reviews and Comments

Nurse Practitioner Nurses in Kirkland, WA

Ms. Xuemei Su, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034 Phone: 425-899-4692
Steven Kurt Reusser, ARNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Kirkland Way, Kirkland, WA 98033 Phone: 206-520-5000
Salome Mosses, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034 Phone: 781-248-8996
Jessica Shdo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13718 100th Ave Ne, Kirkland, WA 98034 Phone: 425-814-4888
Mario Mata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000
Ms. Melissa Ann Barclay, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13122 120th Ave Ne, Kirkland, WA 98034 Phone: 425-678-8534 Fax: 425-678-8564
Maolei Zhu, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000

Kouassi Kan Boua Lazare Assie, NURSE PRACTITIONER - Medicare Nurse Practitioner in Kirkland, WA