Samuel Mugo, in Seattle, WA - Medicare Nurse Practitioner

Samuel Mugo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Seattle, Washington. His current practice location is 2600 Sw Holden St, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 933-7200.

Samuel Mugo is licensed to practice in Washington (license number AP61393845) 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 1386287340.

Contact Information

	Samuel Mugo,
	2600 Sw Holden St, Seattle, WA 98126-3505
	(206) 933-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Mugo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2600 Sw Holden St, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386287340
Provider Enumeration Date: 10/23/2019
Last Update Date: 02/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9032557376
Enrollment ID: I20240404003104

Medical Identifiers

Medical identifiers for Samuel Mugo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386287340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN60044386 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61393845 (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. Samuel Mugo allows following entities to bill medicare on his behalf.

Entity Name	Vest Thurston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336605849 PECOS PAC ID: 0648512459 Enrollment ID: O20190701002488

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. Samuel Mugo 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
Samuel Mugo, 11536 129th St E, Puyallup, WA 98374-3145 Ph: (206) 617-2621	Samuel Mugo, 2600 Sw Holden St, Seattle, WA 98126-3505 Ph: (206) 933-7200

Reviews and Comments

Nurse Practitioner Nurses in Seattle, WA

Mrs. Joanne Lynn Osetsky, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 17th Ave, Ste 110, Seattle, WA 98122 Phone: 206-320-3470 Fax: 206-320-3471
Sandra K Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-598-0502 Fax: 206-598-0516
Ms. Jennifer Patano, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Ms O.7.720, Seattle, WA 98105 Phone: 206-987-8949 Fax: 206-987-8943
Mrs. Dominique Michelle Well, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4715 42nd Ave Sw, Seattle, WA 98116 Phone: 206-265-3642
Mrs. Susan L Holtzclaw, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mailstop T-2108, Seattle, WA 98105 Phone: 206-987-5691
Dr. Kaitlin Michelle Brasier, D.N.P., A.R.N.P., RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1525 4th Ave, Suite 300, Seattle, WA 98101 Phone: 206-838-6856 Fax: 206-838-3085
Melissa Yen-ching Lo, DNP, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-861-3396

Samuel Mugo, - Medicare Nurse Practitioner in Seattle, WA