Mrs Michele Louise Gunderson, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Colbert, Washington. Her current practice location is
20803 N Horseman Ln, Colbert, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 992-2562.
Mrs Michele Louise Gunderson is licensed to practice in Washington (license number AP60186765) 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 1851694673.
Provider's Profile
Full Name | Mrs Michele Louise Gunderson |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 20803 N Horseman Ln, Colbert, Washington |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851694673
- Provider Enumeration Date: 12/16/2010
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587818570
- Enrollment ID: I20130128000408
Medical Identifiers
Medical identifiers for Mrs Michele Louise Gunderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851694673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | AP60186765 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60186765 (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. Mrs Michele Louise Gunderson allows following entities to bill medicare on her behalf.
Entity Name | Alpine Orthopaedic And Spine A Professional Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1922334804 PECOS PAC ID: 3678615390 Enrollment ID: O20100119000403 |
---|
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 | Access Mobile Medicine Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1629852637 PECOS PAC ID: 5799134466 Enrollment ID: O20231207001437 |
---|
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 Michele Louise Gunderson 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 |
Mrs Michele Louise Gunderson, ARNP 20803 N Horseman Ln, Colbert, WA 99005-6001 Ph: (099) 922-5625 | Mrs Michele Louise Gunderson, ARNP 20803 N Horseman Ln, Colbert, WA 99005-6001 Ph: (509) 992-2562 |
Reviews and Comments