Dr Moustapha Dimachk, MD in Walla Walla, WA

Dr Moustapha Dimachk, MD is a medicare enrolled "Surgery" physician in Walla Walla, Washington. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Providence Health And Services - Washington and his current practice location is 380 Chase Ave, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (095) 897-3790.

Dr Moustapha Dimachk is licensed to practice in Washington (license number MD61595905) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215312772.

Contact Information

	Dr Moustapha Dimachk, MD
	380 Chase Ave, Walla Walla, WA 99362-2924
	(095) 897-3790
	(509) 897-5558

Map and Direction

Physician's Profile

Full Name	Dr Moustapha Dimachk
Gender	Male
Speciality	General Surgery
Experience	10 Years
Location	380 Chase Ave, 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.

Medical Education and Training:

Dr Moustapha Dimachk graduated from medical school in 2015

NPI Data:

NPI Number: 1215312772
Provider Enumeration Date: 07/27/2015
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7911297817
Enrollment ID: I20240924004235

Medical Identifiers

Medical identifiers for Dr Moustapha Dimachk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215312772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD61595905 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Mary Medical Center	Walla walla, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services - Washington	2860552973	223

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Moustapha Dimachk allows following entities to bill medicare on his behalf.

Entity Name	Kadlec Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035

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

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 Moustapha Dimachk is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Moustapha Dimachk, MD 380 Chase Ave, Walla Walla, WA 99362-2924 Ph: (095) 897-3790	Dr Moustapha Dimachk, MD 380 Chase Ave, Walla Walla, WA 99362-2924 Ph: (095) 897-3790

Reviews and Comments

Surgery Doctors in Walla Walla, WA

Ernest William Steinle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-522-5765 Fax: 509-522-5558
Dr. Frederick Ian Field, M.D., FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 W Poplar St, Suite 50, Walla Walla, WA 99362 Phone: 509-522-5765 Fax: 509-522-5516
Scott G Newbold, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592
Nicholas Michael, DO Surgery Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-3790
John P Shannon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 W Poplar, Suite 210, Walla Walla, WA 99362 Phone: 509-522-5825 Fax: 509-529-3512

Dr Moustapha Dimachk, MD - Medicare General Surgery in Walla Walla, WA