Provider Demographics
NPI:1538279914
Name:PATCHETT, MARGARET A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:PATCHETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:PATCHETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3237 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2414
Mailing Address - Country:US
Mailing Address - Phone:530-885-8128
Mailing Address - Fax:530-885-0239
Practice Address - Street 1:1096 GOETHALS DR
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3303
Practice Address - Country:US
Practice Address - Phone:509-943-9700
Practice Address - Fax:509-943-1503
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00030765207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA050058455OtherRAILROAD MEDICARE
WA7089980/BILLINGMedicaid
WA1104280/PERSONALMedicaid
WA122367/BILLINGOtherWA LABOR & INDUSTRY
WA122366/PERSONALOtherWA LABOR & INDUSTRY
WA1104280/PERSONALMedicaid
WAGAB06585/PERSONALMedicare PIN
WAF16613Medicare UPIN