Lola Mudgistratova, MD - Medicare Emergency Medicine in Seattle, WA

Lola Mudgistratova, MD is a medicare enrolled "Emergency Medicine" physician in Seattle, Washington. She went to University Of Washington School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Associated Emergency Room Physicians Inc Ps and her current practice location is 201 16th Ave E, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 326-3000.

Lola Mudgistratova is licensed to practice in Washington (license number MD60963016) 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 1609309533.

Contact Information

Lola Mudgistratova, MD
201 16th Ave E,
Seattle, WA 98112-5226
(206) 326-3000
Not Available



Physician's Profile

Full NameLola Mudgistratova
GenderFemale
SpecialityEmergency Medicine
Experience7 Years
Location201 16th Ave E, Seattle, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lola Mudgistratova attended and graduated from University Of Washington School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1609309533
  • Provider Enumeration Date: 04/07/2017
  • Last Update Date: 04/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163790312
  • Enrollment ID: I20200713000307

Medical Identifiers

Medical identifiers for Lola Mudgistratova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609309533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD60963016 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley Medical CenterRenton, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Emergency Room Physicians Inc Ps791189205422

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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. Lola Mudgistratova allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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Entity NameAssociated Emergency Room Physicians Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861480840
PECOS PAC ID: 7911892054
Enrollment ID: O20040218000447

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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. Lola Mudgistratova 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 AddressPractice Location Address
Lola Mudgistratova, MD
201 16th Ave E,
Seattle, WA 98112-5226

Ph: (206) 326-3000
Lola Mudgistratova, MD
201 16th Ave E,
Seattle, WA 98112-5226

Ph: (206) 326-3000

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Emergency Medicine Doctors in Seattle, WA

Sasha Kaiser, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-520-5000    
Kristopher Allen Hendershot, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-520-5000    
Dr. Lauren Kristen Whiteside, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-744-8464    
Brenda Park, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1550 N 115th St, Seattle, WA 98133
Phone: 206-368-5762    Fax: 814-537-5677
Rhadika Mccormick Souza, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 925 Seneca St, Seattle, WA 98101
Phone: 206-583-6433    Fax: 206-583-6583
Eleanor Ganz, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1550 N 115th St, Seattle, WA 98133
Phone: 206-598-4955    
Dr. Gary H. Somers, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1550 N 115th St, Seattle, WA 98133
Phone: 206-368-1765    

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