Mackenzie Claire Rinaldi, DO | |
1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163-5423 | |
(509) 332-2605 | |
(509) 715-2123 |
Full Name | Mackenzie Claire Rinaldi |
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Gender | Female |
Speciality | Pediatrics |
Location | 1205 Se Professional Mall Blvd Ste 104, Pullman, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770110645 | NPI | - | NPPES |
2257556 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M17298 (Idaho) | Secondary |
208000000X | Pediatrics | MD61423154 (Washington) | Primary |
Entity Name | Public Hospital District #1-a Of Whitman County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
Entity Name | Public Hospital District #1-a Of Whitman County |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859 |
Mailing Address | Practice Location Address |
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Mackenzie Claire Rinaldi, DO 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163-5423 Ph: (509) 332-2605 | Mackenzie Claire Rinaldi, DO 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163-5423 Ph: (509) 332-2605 |
Martha Hunt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Ne 1125 Washington St, Washington State University, Pullman, WA 99164 Phone: 509-335-3575 | |
Joseph O Aiyenowo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247 | |
Michael J Frostad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd, Suite104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-334-5754 | |
Jonathan Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163 Phone: 509-332-2605 | |
Lennis K Boyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-334-5754 | |
Maricarmen Stout Shields, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-334-5754 |