Mario E Porras, MD | |
80 N Main St, Coupeville, WA 98239-9500 | |
(360) 678-4424 | |
(360) 678-5161 |
Full Name | Mario E Porras |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 80 N Main St, Coupeville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609831809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD60318075 (Washington) | Primary |
207X00000X | Orthopaedic Surgery | TP027 (Kentucky) | Secondary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Mario E Porras, MD Po Box 770, Coupeville, WA 98239-0770 Ph: (360) 678-4424 | Mario E Porras, MD 80 N Main St, Coupeville, WA 98239-9500 Ph: (360) 678-4424 |
K. Byron Skubi, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Main Street, Coupeville, WA 98239 Phone: 360-678-4424 Fax: 360-678-5161 | |
James David Livermore, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 N. Main St., Coupeville, WA 98239 Phone: 360-678-4424 | |
Dr. Michael Dennis Kazel, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2106 Ne Parker Rd, Coupeville, WA 98239 Phone: 910-381-3601 | |
Frederic Barlow Wilson I, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 N Main St, Coupeville, WA 98239 Phone: 360-678-4424 Fax: 360-678-5161 | |
Dale Allen Adishian, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 205 S Main St Ste A, Coupeville, WA 98239 Phone: 360-240-4013 Fax: 360-678-5161 | |
Dr. Henry K. Yee, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 205 S Main St Ste A, Coupeville, WA 98239 Phone: 360-240-4013 Fax: 360-678-5161 |