Dr Mark S Peckler, MD | |
3525 Ensign Rd., Suite A, Olympia, WA 98505-0001 | |
(360) 456-4666 | |
(360) 459-1566 |
Full Name | Dr Mark S Peckler |
---|---|
Gender | Male |
Speciality | Urology |
Location | 3525 Ensign Rd., Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770511438 | NPI | - | NPPES |
17815 | Other | WA | LABOR AND INDUSTRIES |
1789601 | Medicaid | WA | |
T00100 | Other | WA | REGENCE |
G001048501 | Other | WA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD00019049 (Washington) | Primary |
Entity Name | Urology Associates, Ltd., P.s.. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699701292 PECOS PAC ID: 4789572181 Enrollment ID: O20040308000870 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark S Peckler, MD 3525 Ensign Rd Ne, Suite A, Olympia, WA 98506-5065 Ph: (360) 456-4666 | Dr Mark S Peckler, MD 3525 Ensign Rd., Suite A, Olympia, WA 98505-0001 Ph: (360) 456-4666 |
Dr. Daniel Mark Brown, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 402 Black Hills Ln Sw, Suite A, Olympia, WA 98502 Phone: 360-943-9400 Fax: 360-956-3475 | |
Dr. John Kelley Muenchrath, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 404 Yauger Way Sw Ste 100, Olympia, WA 98502 Phone: 360-596-4614 | |
Simon P Zadina, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 703 Lilly Rd Ne, Suite 106, Olympia, WA 98506 Phone: 360-350-0281 Fax: 360-918-8280 | |
Dr. Pierre Dominique Mechali, M.D. Urology Medicare: Medicare Enrolled Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405 | |
Patrick William Murray, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 Fax: 360-455-7405 | |
Dr. Richard Nathaniel Greene Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-486-6772 | |
Dr. David M Ward, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 149 Lilly Rd Ne, Pmg Sw Wa Olympia Urology, Olympia, WA 98506 Phone: 360-486-6772 |