Vicki L Macy, | |
700 E Manitoba Ave, Ste 109, Ellensburg, WA 98926-3885 | |
(509) 933-8720 | |
Not Available |
Full Name | Vicki L Macy |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 700 E Manitoba Ave, Ellensburg, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619985686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | TL4276 (Wyoming) | Primary |
207V00000X | Obstetrics & Gynecology | MD60586432 (Washington) | Secondary |
Entity Name | Memorial Hospital Of Carbon County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508900341 PECOS PAC ID: 9638067176 Enrollment ID: O20040308000403 |
Entity Name | Memorial Hospital Of Carbon County |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1710298757 PECOS PAC ID: 9638067176 Enrollment ID: O20100527000702 |
Mailing Address | Practice Location Address |
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Vicki L Macy, 2221 Elm St, Rawlins, WY 82301-5108 Ph: (307) 324-9098 | Vicki L Macy, 700 E Manitoba Ave, Ste 109, Ellensburg, WA 98926-3885 Ph: (509) 933-8720 |
Dr. Maribel Serrano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 E Jackson Ave, Ellensburg, WA 98926 Phone: 509-933-8720 Fax: 509-933-8722 | |
Mrs. Ginger K Longo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 611 South Chestnut, Suite D, Ellensburg, WA 98926 Phone: 509-933-8700 Fax: 509-933-8705 |