| Dr Marciano Baul Capati Jr, MD | |
|
715 North Park Drive, Selah, WA 98942-1308 | |
| (509) 697-4827 | |
| (509) 697-9099 |
| Full Name | Dr Marciano Baul Capati Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 715 North Park Drive, Selah, 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 |
|---|---|---|---|
| 1508059486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60114666 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Overlake Medical Clinics Llc | 7012808827 | 380 |
| Providence Health And Services- Washington | 8325100480 | 413 |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marciano Baul Capati Jr, MD 732 Summitview Ave # 621, Yakima, WA 98902-3032 Ph: (509) 573-3448 | Dr Marciano Baul Capati Jr, MD 715 North Park Drive, Selah, WA 98942-1308 Ph: (509) 697-4827 |
James P Zingerman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 N. Park Drive, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-697-9313 | |
Dr. William T Cox, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 E 1st Ave, Suite 4, Selah, WA 98942 Phone: 509-697-8008 Fax: 509-697-9872 | |
Ross W Bethel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 N Park Drive, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-225-2707 | |
David A Pommer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 N. Park Drive, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-697-9313 | |
Jack Calvert, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 Anderson Rd, Selah, WA 98942 Phone: 509-698-3318 |