Anne Marie Fombu, in Bellevue, WA - Medicare Nurse Practitioner

Anne Marie Fombu, is a medicare enrolled "Nurse Practitioner - Family" in Bellevue, Washington. Her current practice location is 15015 Main St, Suite #109, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 824-6978.

Anne Marie Fombu is licensed to practice in Washington (license number F05210644) 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 1245828383.

Contact Information

	Anne Marie Fombu,
	15015 Main St, Suite #109, Bellevue, WA 98007
	(509) 824-6978
	(509) 824-6961

Map and Direction

Provider's Profile

Full Name	Anne Marie Fombu
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15015 Main St, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245828383
Provider Enumeration Date: 01/05/2021
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2769853852
Enrollment ID: I20230127002508

Medical Identifiers

Medical identifiers for Anne Marie Fombu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245828383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60860845 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	F05210644 (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. Anne Marie Fombu allows following entities to bill medicare on her behalf.

Entity Name	Molina Healthcare Of Washington Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912235060 PECOS PAC ID: 1850427527 Enrollment ID: O20100405000336

Entity Name	Stemwave Northwest Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649985466 PECOS PAC ID: 9638542590 Enrollment ID: O20230224001029

Entity Name	Annemarie Aesthetics Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700665288 PECOS PAC ID: 3577909233 Enrollment ID: O20240315003073

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. Anne Marie Fombu 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
Anne Marie Fombu, 15015 Main St Suite 109, Bellevue, WA 98007 Ph: (206) 575-0300	Anne Marie Fombu, 15015 Main St, Suite #109, Bellevue, WA 98007 Ph: (509) 824-6978

Reviews and Comments

Nurse Practitioner Nurses in Bellevue, WA

Ms. Jessica Swenson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004 Phone: 425-454-3366 Fax: 425-460-5954
Mrs. Kara Harrington Brennan, MSN, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11522 Ne 20th St, Bellevue, WA 98004 Phone: 425-462-2531 Fax: 425-454-6176
Dr. Ambera Dedic, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 116th Ave Ne Ste 400, Bellevue, WA 98004 Phone: 425-289-3199
Keenan Smith, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2105 112th Ave Ne Ste 201, Bellevue, WA 98004 Phone: 425-968-5948
Leslie Elaine Smith, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 116th Ave Ne, Suite #102, Bellevue, WA 98004 Phone: 425-454-5311 Fax: 425-454-8188
Hana K Ryan, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11695 Ne 4th St, Bellevue, WA 98004 Phone: 425-637-1855 Fax: 425-344-7970
Thomas Chan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15585 Ne 24th St, Bellevue, WA 98007 Phone: 888-227-3312

Anne Marie Fombu, - Medicare Nurse Practitioner in Bellevue, WA