Mr Corey Mark Pendergraft, MD in Pullman, WA - Student in an Organized Health Care Education/Training Program

Mr Corey Mark Pendergraft, MD - Student in an Organized Health Care Education/Training Program in Pullman, WA

Mr Corey Mark Pendergraft, MD is a Student In An Organized Health Care Education/training Program physician based in Pullman, Washington. Mr Corey Mark Pendergraft is licensed to practice in * (Not Available) (license number ) and his current practice location is Wsu Family Medicine Residency Center, 825 Se Bishop Blvd Ste 401, Pullman, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 336-7720.

NPI number for Mr Corey Mark Pendergraft is 1528857372 and his current mailing address is 825 Se Bishop Blvd Ste 401, Pullman, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528857372.

Contact Information

	Mr Corey Mark Pendergraft, MD
	Wsu Family Medicine Residency Center, 825 Se Bishop Blvd Ste 401, Pullman, WA 99163
	(509) 336-7720
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Corey Mark Pendergraft
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	Wsu Family Medicine Residency Center, Pullman, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1528857372
Provider Enumeration Date: 05/06/2025
Last Update Date: 02/02/2026

Medical Identifiers

Medical identifiers for Mr Corey Mark Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528857372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ML61690777 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Mr Corey Mark Pendergraft is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Corey Mark Pendergraft, MD 825 Se Bishop Blvd Ste 401, Pullman, WA 99163-5517 Ph: (509) 336-7720	Mr Corey Mark Pendergraft, MD Wsu Family Medicine Residency Center, 825 Se Bishop Blvd Ste 401, Pullman, WA 99163 Ph: (509) 336-7720