Mark Nishiyama, MD - Medicare Obstetrics/gynecology in Centralia, WA

Mark Nishiyama, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Centralia, Washington. He went to Loma Linda University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Providence Health And Services Washington and his current practice location is 1000 S Scheuber Rd, Centralia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 330-8950.

Mark Nishiyama is licensed to practice in Washington (license number MD00039478) 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 1033279849.

Contact Information

Mark Nishiyama, MD
1000 S Scheuber Rd,
Centralia, WA 98531-8877
(360) 330-8950
(360) 330-8955



Physician's Profile

Full NameMark Nishiyama
GenderMale
SpecialityObstetrics/gynecology
Experience37 Years
Location1000 S Scheuber Rd, Centralia, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Nishiyama attended and graduated from Loma Linda University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1033279849
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 06/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789731381
  • Enrollment ID: I20090420000111

Medical Identifiers

Medical identifiers for Mark Nishiyama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033279849NPI-NPPES
AB23193OtherWAMEDICARE GROUP
87278418MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD00039478 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Centralia HospitalCentralia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington6709782600393

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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. Mark Nishiyama allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028

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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. Mark Nishiyama 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 AddressPractice Location Address
Mark Nishiyama, MD
1000 S Scheuber Rd,
Centralia, WA 98531-8877

Ph: (360) 330-8950
Mark Nishiyama, MD
1000 S Scheuber Rd,
Centralia, WA 98531-8877

Ph: (360) 330-8950

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Obstetrics & Gynecology Doctors in Centralia, WA

Elisha Mvundura, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531
Phone: 360-330-8950    
Evelyn S Estrada, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531
Phone: 360-330-8950    Fax: 360-330-8955
Duong Thuy Than, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1000 S Scheuber Rd, Centralia, WA 98531
Phone: 360-330-8950    
Dr. Jennifer A Marnik-scalici, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531
Phone: 360-330-8950    Fax: 360-330-8955

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