Jennifer L Kannberg Nybo, OD is a medicare enrolled "Optometrist" provider in Snoqualmie, Washington. She went to Pacific University - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Kaiser Foundation Health Plan Of Washington and her current practice location is
7724 Center Blvd Se, Snoqualmie, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 831-2060.
Jennifer L Kannberg Nybo is licensed to practice in Washington (license number OD00003906) 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 1073550281.
Healthcare Provider's Profile
| Full Name | Jennifer L Kannberg Nybo |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 20 Years |
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| Location | 7724 Center Blvd Se, Snoqualmie, 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:
- Jennifer L Kannberg Nybo attended and graduated from Pacific University - College Of Optometry in 2004
NPI Data:
- NPI Number: 1073550281
- Provider Enumeration Date: 05/31/2006
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082687496
- Enrollment ID: I20040814000043
Medical Identifiers
Medical identifiers for Jennifer L Kannberg Nybo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073550281 | NPI | - | NPPES |
| 2029510 | Medicaid | WA | |
| 9457KA | Other | WA | REGENCE BLUESHIELD |
| 753021696 | Other | WA | PREMERA BLUE CROSS |
| 0189397 | Other | WA | DEPARTMENT OF L & I |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD00003906 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
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. Jennifer L Kannberg Nybo allows following entities to bill medicare on her behalf.
| Provider Name | Kaiser Foundation Health Plan Of Washington |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454 |
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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. Jennifer L Kannberg Nybo 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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Jennifer L Kannberg Nybo, OD
30035 34th Ave S,
Auburn, WA 98001-2224
Ph: (425) 985-8857 | Jennifer L Kannberg Nybo, OD
7724 Center Blvd Se,
Snoqualmie, WA 98065-8993
Ph: (425) 831-2060 |
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