Jon Marcus Raymond Mundall, MD is a
General Practice physician based in Connell, Washington. Jon Marcus Raymond Mundall is licensed to practice in Washington (license number MD00023408) and his current practice location is 111 North Columbia Ave, Connell, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 234-7766.
NPI number for Jon Marcus Raymond Mundall is 1912185588 and his current mailing address is Po Box F, Connell, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912185588.
Physician's Profile
Full Name | Jon Marcus Raymond Mundall |
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Gender | Male |
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Speciality | General Practice |
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Location | 111 North Columbia Ave, Connell, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912185588
- Provider Enumeration Date: 02/06/2008
- Last Update Date: 02/06/2008
Medical Identifiers
Medical identifiers for Jon Marcus Raymond Mundall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912185588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD00023408 (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. Jon Marcus Raymond Mundall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jon Marcus Raymond Mundall, MD Po Box F, Connell, WA 99326-0047 Ph: (509) 234-7766 | Jon Marcus Raymond Mundall, MD 111 North Columbia Ave, Connell, WA 99326 Ph: (509) 234-7766 |
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