| Diane Elizabeth Marines, DNP | |
|
100 Cedar Crest Dr, Winlock, WA 98596-9791 | |
| (360) 785-9400 | |
| (360) 785-0236 |
| Full Name | Diane Elizabeth Marines |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 100 Cedar Crest Dr, Winlock, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144892043 | NPI | - | NPPES |
| 2189209 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61197534 (Washington) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | AP61197534 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health And Hospice | Centralia, WA | Home health agency |
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Summit Pacific Medical Center | Elma, WA | Hospital |
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis County Community Health Services | 6002803749 | 31 |
| Grays Harbor County Public Hospital District No 1 | 9032017256 | 62 |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
| Entity Name | Grays Harbor Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154378859 PECOS PAC ID: 3577462365 Enrollment ID: O20031231000081 |
| Entity Name | Lewis County Community Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20140311001671 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Elizabeth Marines, DNP 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 | Diane Elizabeth Marines, DNP 100 Cedar Crest Dr, Winlock, WA 98596-9791 Ph: (360) 785-9400 |
Howard Wayland Welsh, RN, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 Cemetery Rd, Winlock, WA 98596 Phone: 360-785-9400 Fax: 360-785-0236 |