| Dr Peter Zajac, DO | |
|
1550 S Pioneer Way, Moses Lake, WA 98837-4613 | |
| (509) 793-9792 | |
| (509) 764-3287 |
| Full Name | Dr Peter Zajac |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1550 S Pioneer Way, Moses Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477110419 | NPI | - | NPPES |
| 2291811 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OP61502695 (Washington) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Arizona) | Secondary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Zajac, DO 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Dr Peter Zajac, DO 1550 S Pioneer Way, Moses Lake, WA 98837-4613 Ph: (509) 793-9792 |
Jordan Smith, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 | |
Louis F. Martin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1550 S Pioneer Way, Suite 370, Moses Lake, WA 98837 Phone: 509-764-2928 Fax: 509-764-2929 | |
Rodney E Grolman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Suite 370, Moses Lake, WA 98837 Phone: 410-218-8059 | |
Andrea Matson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 | |
Eric Ebaugh, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Qi Ying Mcclelland, MD Surgery Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 |