Stevie Mazyck, MD | |
401 W Poplar St, Walla Walla, WA 99362-2846 | |
(509) 897-3320 | |
Not Available |
Full Name | Stevie Mazyck |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 401 W Poplar St, Walla Walla, 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 |
---|---|---|---|
1902835697 | NPI | - | NPPES |
P01628726 | Other | WA | RR PTAN WVH |
1902835697 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036109544 (Illinois) | Secondary |
207R00000X | Internal Medicine | MD60616133 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Mary Medical Center | Walla walla, WA | Hospital |
St Anthony Hospital | Pendleton, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services - Washington | 2860552973 | 228 |
Entity Name | South Sound Inpatient Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
Entity Name | Providence Health & Services - Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
Mailing Address | Practice Location Address |
---|---|
Stevie Mazyck, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Stevie Mazyck, MD 401 W Poplar St, Walla Walla, WA 99362-2846 Ph: (509) 897-3320 |
Dr. Galen S Mcquarrie, M. D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Dr. Delwyn Richard Baker, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 77 Wainwright Drive, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Alonso Dario Pezo Salazar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Lori Alborn Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Chase St, Walla Walla, WA 99362 Phone: 509-525-8110 Fax: 509-522-5743 | |
Timothy A Davidson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar, Walla Walla, WA 99362 Phone: 509-522-5940 Fax: 509-522-5744 | |
Mrs. Cynthia Lynn Rasch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Psmpg Hospitalists, Walla Walla, WA 99362 Phone: 509-525-3320 Fax: 509-522-5184 | |
Dr. Philip L Hooper, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 West Tietan, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 |