Mixayphone Bounvilay, RN in Bellevue, WA - Medicare Advanced Practice Midwife

Mixayphone Bounvilay, RN is a medicare enrolled "Advanced Practice Midwife" in Bellevue, Washington. Her current practice location is 11511 Ne 10th St, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 502-3000.

Mixayphone Bounvilay is licensed to practice in Washington (license number AP60917564) 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 1053802074.

Contact Information

	Mixayphone Bounvilay, RN
	11511 Ne 10th St, Bellevue, WA 98004-8578
	(425) 502-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mixayphone Bounvilay
Gender	Female
Speciality	Advanced Practice Midwife
Location	11511 Ne 10th 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: 1053802074
Provider Enumeration Date: 05/24/2018
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4082955075
Enrollment ID: I20230117000370

Medical Identifiers

Medical identifiers for Mixayphone Bounvilay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053802074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	AP60917564 (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. Mixayphone Bounvilay allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mixayphone Bounvilay 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
Mixayphone Bounvilay, RN 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000	Mixayphone Bounvilay, RN 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000

Reviews and Comments

Advanced Practice Midwife Nurses in Bellevue, WA

Sarah Procko, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589
Christine Topinka, ARNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2821 107th Ave Ne, Bellevue, WA 98004 Phone: 206-290-1778
Caranina Elizabeth Palomino, RN, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589
Ms. Jemma Nonog, ARNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1231 116th Ave Ne Ste 950, Bellevue, WA 98004 Phone: 425-454-3366
Loredana Loghin, ARNP, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004 Phone: 425-454-3366 Fax: 425-943-3247
Alison W Merritt, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-4230 Fax: 425-502-4233

Mixayphone Bounvilay, RN - Medicare Advanced Practice Midwife in Bellevue, WA