Tumwater Family Practice Clinic - Medicare Primary Care in Tumwater, WA

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Tumwater Family Practice Clinic is a medicare enrolled primary clinic (Family Medicine) in Tumwater, Washington. The current practice location for Tumwater Family Practice Clinic is 150 Dennis St Sw, Tumwater, Washington. For appointments, you can reach them via phone at (360) 754-3637. The mailing address for Tumwater Family Practice Clinic is 150 Dennis St Sw, Tumwater, Washington and phone number is (360) 754-3637.

Tumwater Family Practice Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1881638559. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (360) 754-3637.

Contact Information

Tumwater Family Practice Clinic
150 Dennis St Sw
Tumwater
WA 98501-5459
(360) 754-3637
(360) 754-6429

Map and Direction


Primary Care Clinic Profile

Full NameTumwater Family Practice Clinic
SpecialityFamily Medicine
Location150 Dennis St Sw, Tumwater, Washington
Authorized Official Name and PositionJennifer L Tyler (CLINC ADMINISTRATOR)
Authorized Official Contact3607546367
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tumwater Family Practice Clinic
150 Dennis St Sw
Tumwater
WA 98501-5459

Ph: (360) 754-3637		Tumwater Family Practice Clinic
150 Dennis St Sw
Tumwater
WA 98501-5459

Ph: (360) 754-3637

NPI Details:

NPI Number1881638559
Provider Enumeration Date06/15/2006
Last Update Date12/18/2009

Medicare PECOS Information:

Medicare PECOS PAC ID4587553268
Medicare Enrollment IDO20040311000816

Medical Identifiers

Medical identifiers for Tumwater Family Practice Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881638559NPI-NPPES
7022346MedicaidWA
77100OtherWALABOR & INDUSTRIES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tumwater Family Practice Clinic acts as a billing entity for following providers:
Provider NameLouise Kaplan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073590659
PECOS PAC ID: 6406849900
Enrollment ID: I20040408000047
Provider NameKurt R Sandine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164527206
PECOS PAC ID: 3779530746
Enrollment ID: I20050401000161
Provider NameKimberly Ireland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285711358
PECOS PAC ID: 0840215224
Enrollment ID: I20051014000225
Provider NameCynthia A Whitney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508817677
PECOS PAC ID: 3274557806
Enrollment ID: I20060201000609
Provider NameKarolina A Wilczynska Oberc
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760414668
PECOS PAC ID: 7416950803
Enrollment ID: I20060825000190
Provider NameCalvin Kuo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477569143
PECOS PAC ID: 1658372503
Enrollment ID: I20090320000529
Provider NameAndrea M Repphun
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1043383136
PECOS PAC ID: 6901953587
Enrollment ID: I20100803001369
Provider NameCiara Nicole Atabeygi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861737389
PECOS PAC ID: 4284870213
Enrollment ID: I20130418000247
Provider NameMegan Colburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922482074
PECOS PAC ID: 6507174661
Enrollment ID: I20151009001140
Provider NameTheodore S Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053954776
PECOS PAC ID: 1658700489
Enrollment ID: I20200331000330
Provider NameCharmaine A Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174245625
PECOS PAC ID: 8224406632
Enrollment ID: I20221116000685

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.