| Mark E Coughenour, MD | |
| 1717 13th St, Suite 300, Everett, WA 98201-1621 | |
| (425) 297-5500 | |
| (425) 297-5514 | 
| Full Name | Mark E Coughenour | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Hematology & Oncology | 
| Location | 1717 13th St, Everett, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760421374 | NPI | - | NPPES | 
| 0211179 | Other | WA | LABOR AND INDUSTRY | 
| 8108839 | Medicaid | WA | |
| 1018272 | Medicaid | WA | |
| MD00025571 | Other | WA | STATE LICENSE NUMBER | 
| 110073395 | Other | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | MD00025571 (Washington) | Primary | 
| Entity Name | Optum Care Washington Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark E Coughenour, MD Po Box 5127, Everett, WA 98206-5127 Ph: () - | Mark E Coughenour, MD 1717 13th St, Suite 300, Everett, WA 98201-1621 Ph: (425) 297-5500 | 
| Timothy Edward Mcnamara,  Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1001 N Broadway, Suite A3, Everett, WA 98201 Phone: 425-317-0300 Fax: 425-317-0303 | |
| Dr. Kurt R. Duffens, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
| Dr. Madhurina Roy, M.D Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9505 19th Ave Se, Ste 100, Everett, WA 98208 Phone: 425-225-6721 Fax: 425-225-6725 | |
| Dr. Kavyashri Kodlipet Jagadeesh, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave Ste 210, Everett, WA 98201 Phone: 425-261-4940 Fax: 425-261-4932 | |
| Amy D Nelson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515 | |
| Ya-lan Huang, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 12728 19th Ave Se Ste 300, Everett, WA 98208 Phone: 425-252-6801 Fax: 425-258-1944 | |
| Mahesh Mulumudi,  Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5411 |