Mrs Katrina Eileen Moen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Washougal, Washington. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Vancouver Clinic Inc Ps and her current practice location is
291 C St Unit 110, Washougal, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 882-2778.
Mrs Katrina Eileen Moen is licensed to practice in Washington (license number 60301097) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023364106.
Provider's Profile
| Full Name | Mrs Katrina Eileen Moen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 291 C St Unit 110, Washougal, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Katrina Eileen Moen graduated from nursing school in 2012
NPI Data:
- NPI Number: 1023364106
- Provider Enumeration Date: 07/26/2012
- Last Update Date: 07/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 1850542077
- Enrollment ID: I20181120001921
Medical Identifiers
Medical identifiers for Mrs Katrina Eileen Moen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023364106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 60301097 (Washington) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 201250106NP (Oregon) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Vancouver Clinic Inc Ps | 3173436490 | 471 |
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. Mrs Katrina Eileen Moen allows following entities to bill medicare on her behalf.
| Entity Name | The Vancouver Clinic Inc Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992759427
PECOS PAC ID: 3173436490
Enrollment ID: O20031111000793 |
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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. Mrs Katrina Eileen Moen 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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Mrs Katrina Eileen Moen, FNP
700 Ne 87th Ave,
Vancouver, WA 98664-1913
Ph: (360) 397-3352 | Mrs Katrina Eileen Moen, FNP
291 C St Unit 110,
Washougal, WA 98671
Ph: (360) 882-2778 |
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