Mark T Eggleston, MD | |
500 Port Drive, Clarkston, WA 99403-1835 | |
(509) 758-8811 | |
(509) 751-1188 |
Full Name | Mark T Eggleston |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 27 Years |
Location | 500 Port Drive, Clarkston, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306836705 | NPI | - | NPPES |
000010033114 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
0152789 | Other | WA | LABOR & INDUSTRY |
806011100 | Medicaid | ID | |
MXXPR0054708 | Other | WA | MOLINA HEALTHCARE |
0000100033114 | Other | FEDERAL BLUE CROSS | |
24509 | Other | WA | GROUP HEALTH COOPERATIVE |
BYHD5 | Other | ID | BLUE CROSS OF IDAHO |
000010145029 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
8293425 | Medicaid | WA | |
8928983 | Other | WA | CRIME VICTIMES COMPENSATION ACT |
42663 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD00039323 (Washington) | Primary |
207W00000X | Ophthalmology | M8239 (Idaho) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Care Specialists Ps | 3779473723 | 2 |
Eye Care Specialists Ps | 3779473723 | 2 |
Entity Name | Eye Care Specialists Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639160450 PECOS PAC ID: 3779473723 Enrollment ID: O20040317000302 |
Mailing Address | Practice Location Address |
---|---|
Mark T Eggleston, MD 500 Port Drive, Clarkston, WA 99403-1835 Ph: (509) 758-8811 | Mark T Eggleston, MD 500 Port Drive, Clarkston, WA 99403-1835 Ph: (509) 758-8811 |
Chad Ryan Bouterse, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Port Dr, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188 | |
Mr. Richard J Eggleston, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 500 Port Dr, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188 |