| Mr Mark Gardner, PA-C | |
|
803 E Lincoln Ave Ste 3, Sunnyside, WA 98944-2383 | |
| (509) 837-7551 | |
| Not Available |
| Full Name | Mr Mark Gardner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 803 E Lincoln Ave Ste 3, Sunnyside, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891797247 | NPI | - | NPPES |
| 2007665 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.PA.60113333 (Washington) | Primary |
| 363A00000X | Physician Assistant | 53333582 (Utah) | Secondary |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1225033814 PECOS PAC ID: 1658280896 Enrollment ID: O20030317000038 |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679521637 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Gardner, PA-C Po Box 719, Sunnyside, WA 98944-0719 Ph: (509) 837-1617 | Mr Mark Gardner, PA-C 803 E Lincoln Ave Ste 3, Sunnyside, WA 98944-2383 Ph: (509) 837-7551 |
Mr. Paul Rodney Furan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2935 Allen Rd, Sunnyside, WA 98944 Phone: 509-837-0070 Fax: 509-837-0690 |
Margaret Schott Kranz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2303 Reith Way, Sunnyside, WA 98944 Phone: 509-837-3933 |
Maricela Ramirez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2303 Reith Way, Sunnyside, WA 98944 Phone: 509-837-3933 |
Mr. Ramon Perez Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2303 Reith Way, Sunnyside, WA 98944 Phone: 509-837-3933 |
Irene Castro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2680 Yakima Valley Hwy Ste B, Sunnyside, WA 98944 Phone: 509-839-3000 Fax: 509-839-1013 |
Brianne M Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2935 Allen Rd, Sunnyside, WA 98944 Phone: 509-837-0070 Fax: 509-837-0690 |
Marivel Sandoval, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 803 E Lincoln Ave, Sunnyside, WA 98944 Phone: 509-837-3933 Fax: 809-837-3885 |