| Dr Jennifer A Marnik-scalici, DO | |
|
1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531-8877 | |
| (360) 330-8950 | |
| (360) 330-8955 |
| Full Name | Dr Jennifer A Marnik-scalici |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 22 Years |
| Location | 1000 S Scheuber Rd, Centralia, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760521579 | NPI | - | NPPES |
| 8500928 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 02008733A (Indiana) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | OP00002252 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 6709782600 | 428 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer A Marnik-scalici, DO Po Box 3360, Portland, OR 97208-3360 Ph: (360) 486-6508 | Dr Jennifer A Marnik-scalici, DO 1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531-8877 Ph: (360) 330-8950 |
Mark Nishiyama, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8950 Fax: 360-330-8955 | |
Elisha Mvundura, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8950 | |
Mohammed Al Qaraghouli, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8950 Fax: 360-330-8955 | |
Evelyn S Estrada, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8950 Fax: 360-330-8955 | |
Duong Thuy Than, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8950 |