Dr Jack Mark Fishaut, MD - Pediatrics in Friday Harbor, WA

Dr Jack Mark Fishaut, MD is a Pediatrics physician based in Friday Harbor, Washington. Dr Jack Mark Fishaut is licensed to practice in Washington (license number MD00040965) and his current practice location is 235 Blair Ave, Friday Harbor, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 370-5971.

NPI number for Dr Jack Mark Fishaut is 1891779195 and his current mailing address is Po Box 796, Friday Harbor, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891779195.

Contact Information

Dr Jack Mark Fishaut, MD
235 Blair Ave,
Friday Harbor, WA 98250-0796
(360) 370-5971
(360) 370-5980

Map and Direction




Physician's Profile

Full NameDr Jack Mark Fishaut
GenderMale
SpecialityPediatrics
Location235 Blair Ave, Friday Harbor, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891779195
  • Provider Enumeration Date: 12/01/2005
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Jack Mark Fishaut such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891779195NPI-NPPES
361929500OtherPARK NATL L & L
532300004OtherGROUP HEALTH
4952FIOtherREGENCE BLUE SHIELD
912109329OtherUNIFORM
912109329OtherCHPW
912109329OtherPREMERA BLUE CROSS
LABOR AND INDUSTRIESOther0182789
8387367OtherDSHS MEDICAID
912109329OtherFIRST CHOICE
8930937OtherCRIME VICTIMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD00040965 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Mark Fishaut is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Mark Fishaut, MD
Po Box 796,
Friday Harbor, WA 98250-0796

Ph: (360) 370-5971
Dr Jack Mark Fishaut, MD
235 Blair Ave,
Friday Harbor, WA 98250-0796

Ph: (360) 370-5971

Reviews and Comments


Pediatrics Doctors in Friday Harbor, WA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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