Laura Fairbanks, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mukilteo, Washington. Her current practice location is
10710 Mukilteo Speedway, Mukilteo, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 349-8888.
Laura Fairbanks is licensed to practice in Ohio (license number APRN.CRNA.0020938) 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 1841602067.
Provider's Profile
| Full Name | Laura Fairbanks |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 10710 Mukilteo Speedway, Mukilteo, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841602067
- Provider Enumeration Date: 05/22/2014
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092155127
- Enrollment ID: I20240506003705
Medical Identifiers
Medical identifiers for Laura Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841602067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 60329515 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020938 (Ohio) | 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. Laura Fairbanks allows following entities to bill medicare on her behalf.
| Entity Name | Dayton Anesthesia & Pain Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629401898
PECOS PAC ID: 8022245372
Enrollment ID: O20131212001655 |
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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. Laura Fairbanks 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 |
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Laura Fairbanks, RN
Po Box 3810,
Everett, WA 98213-8810
Ph: () - | Laura Fairbanks, RN
10710 Mukilteo Speedway,
Mukilteo, WA 98275-5021
Ph: (425) 349-8888 |
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