Jennifer L Kannberg Nybo, OD is a medicare enrolled "Optometrist" provider in Snoqualmie, Washington. 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 | |
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Experience | 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. |
Medical Education and Training:
- Jennifer L Kannberg Nybo attended and graduated from in
NPI Data:
- NPI Number: 1073550281
- Provider Enumeration Date: 05/31/2006
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
152W00000X | Optometrist | OD00003906 (Washington) | Primary |
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 |
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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