Mr Corey Furulie, ARNP, RD is a medicare enrolled "Dietitian, Registered" in Tacoma, Washington. His current practice location is
1608 S J St, 1st Floor, Ms 35-10, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 274-7503.
Mr Corey Furulie is licensed to practice in Washington (license number DI60286970) 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 1487052676.
Provider's Profile
| Full Name | Mr Corey Furulie |
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| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 1608 S J St, Tacoma, 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: 1487052676
- Provider Enumeration Date: 12/20/2014
- Last Update Date: 02/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 5496072951
- Enrollment ID: I20150320000672
Medical Identifiers
Medical identifiers for Mr Corey Furulie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487052676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP60479749 (Washington) | Secondary |
| 133V00000X | Dietitian, Registered | DI60286970 (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. Mr Corey Furulie allows following entities to bill medicare on his behalf.
| Entity Name | Franciscan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789 |
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| Entity Name | Puyallup Tribal Health Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063455665
PECOS PAC ID: 9436047537
Enrollment ID: O20040309001482 |
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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. Mr Corey Furulie 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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Mr Corey Furulie, ARNP, RD
1608 S J St, 1st Floor, Ms 35-10,
Tacoma, WA 98405-4930
Ph: (253) 274-7503 | Mr Corey Furulie, ARNP, RD
1608 S J St, 1st Floor, Ms 35-10,
Tacoma, WA 98405-4930
Ph: (253) 274-7503 |
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