Hipolito Mance Custodio Iii, MD in Richland, WA - Medicare Obstetrics/gynecology

Hipolito Mance Custodio Iii, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Richland, Washington. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Kadlec Regional Medical Center and his current practice location is 945 Goethals Dr, Suite 200, Richland, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 942-2555.

Hipolito Mance Custodio Iii is licensed to practice in Washington (license number MD60074660) 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 1225244379.

Contact Information

	Hipolito Mance Custodio Iii, MD
	945 Goethals Dr, Suite 200, Richland, WA 99352-3552
	(509) 942-2555
	(509) 942-2340

Map and Direction

Physician's Profile

Full Name	Hipolito Mance Custodio Iii
Gender	Male
Speciality	Obstetrics/gynecology
Experience	23 Years
Location	945 Goethals Dr, Richland, 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:

Hipolito Mance Custodio Iii graduated from medical school in 2001

NPI Data:

NPI Number: 1225244379
Provider Enumeration Date: 05/15/2007
Last Update Date: 05/10/2021

Medicare PECOS Information:

PECOS PAC ID: 0345394805
Enrollment ID: I20090818000363

Medical Identifiers

Medical identifiers for Hipolito Mance Custodio Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225244379	NPI	-	NPPES
0249026	Other	WA	LABOR & INDUSTRIES
8544694	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MT186614 (Pennsylvania)	Secondary
207V00000X	Obstetrics & Gynecology	MD60074660 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kadlec Regional Medical Center	Richland, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kadlec Regional Medical Center	9739098617	338

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. Hipolito Mance Custodio Iii 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

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. Hipolito Mance Custodio Iii 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
Hipolito Mance Custodio Iii, MD 550 Gage Blvd, Ste 101, Richland, WA 99352-9532 Ph: (509) 942-3627	Hipolito Mance Custodio Iii, MD 945 Goethals Dr, Suite 200, Richland, WA 99352-3552 Ph: (509) 942-2555

Reviews and Comments

Obstetrics & Gynecology Doctors in Richland, WA

Kenton L. Sizemore, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 945 Goethals Drive, Suite 200, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-942-2340
Zaid Mohammed Diken, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 969 Stevens Dr Ste 3a, Richland, WA 99352 Phone: 509-946-8696 Fax: 509-946-8646
Dr. Candace C Green, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2630 N Columbia Center Blvd, Suite B, Richland, WA 99352 Phone: 509-420-5053 Fax: 509-492-5537
Dr. Alexis Xiaowei Tuck, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 945 Goethals Dr, Richland, WA 99352 Phone: 509-942-3095
Dr. Kris Francis Kobalter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 945 Goethals Drive Suite 200, Kadlec Clinic Associated Physicians For Women, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-942-2340
Dr. Richard C Lorenzo Jr., D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1045 Jadwin Ave, Richland, WA 99352 Phone: 509-392-6700 Fax: 509-392-6699

Hipolito Mance Custodio Iii, MD - Medicare Obstetrics/gynecology in Richland, WA