Mr Mustapha I Hydara, ARNP in Kent, WA - Medicare Nurse Practitioner

Mr Mustapha I Hydara, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kent, Washington. His current practice location is 615 W Titus St, Kent, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 670-4234.

Mr Mustapha I Hydara is licensed to practice in Washington (license number AP60125636) 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 1972831451.

Contact Information

	Mr Mustapha I Hydara, ARNP
	615 W Titus St, Kent, WA 98032-5749
	(253) 670-4234
	(253) 631-1375

Map and Direction

Provider's Profile

Full Name	Mr Mustapha I Hydara
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	615 W Titus St, Kent, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972831451
Provider Enumeration Date: 11/23/2009
Last Update Date: 05/15/2013

Medicare PECOS Information:

PECOS PAC ID: 0446381446
Enrollment ID: I20100707000369

Medical Identifiers

Medical identifiers for Mr Mustapha I Hydara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972831451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP60125636 (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 Mustapha I Hydara allows following entities to bill medicare on his behalf.

Entity Name	Bhc Fairfax Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104959097 PECOS PAC ID: 1153231857 Enrollment ID: O20031120000445

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 Mustapha I Hydara 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
Mr Mustapha I Hydara, ARNP 13216 Se 263rd Pl, Kent, WA 98042-3548 Ph: (253) 347-2665	Mr Mustapha I Hydara, ARNP 615 W Titus St, Kent, WA 98032-5749 Ph: (253) 670-4234

Reviews and Comments

Nurse Practitioner Nurses in Kent, WA

Jacquelyn Rose Murillo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25742 104th Ave Se, Kent, WA 98030 Phone: 206-263-0540
Cindy Kiefer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 E Meeker St, Kent, WA 98030 Phone: 253-852-2866
Zainab Ali Gaal-weber, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25506 137th Ave Se, Kent, WA 98042 Phone: 425-345-0101
Muqdasa Sadat, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3420
Robert T Smithing, MSN ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10024 Se 240th St, 201, Kent, WA 98031 Phone: 253-859-2273 Fax: 253-850-8894
Ms. Barbara Ann Krzyzek, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 W James St, King County Correctional Facilities Regional Justice Ce, Kent, WA 98032 Phone: 206-205-2410 Fax: 206-205-2439
Amanda Jane Holen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 State Avenue North, Kent, WA 98031 Phone: 253-372-7866

Mr Mustapha I Hydara, ARNP - Medicare Nurse Practitioner in Kent, WA