DR. MARY FAIRCHOK M.D.
NPI 1073585717
Pediatrics - Pediatric Infectious Diseases in Tacoma, WA

Q: What is Mary Fairchok's NPI number?

The NPI number for Mary Fairchok is 1073585717. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Q: What is Mary Fairchok's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Q: When was this NPI record last updated?

The NPPES record for Mary Fairchok was last updated on January 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 06, 2006PECOS Enrolled

DEPT PEDIATRICS BDAA, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431(253) 968-1831 Get Directions Write a Review

NPPES record last updated: January 31, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mary Fairchok M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY FAIRCHOK M.D. (NPI 1073585717) is an individual pediatric infectious diseases provider in Tacoma, Washington, licensed in Washington (MD00035489) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073585717

Entity TypeIndividualFemale

Primary Taxonomy2080P0208X

Provider Legal NameDR. MARY FAIRCHOKCredential: M.D.

Location AddressDEPT PEDIATRICS BDAA, MADIGAN ARMY MEDICAL CENTERTacoma, WA 98431-0001

Mailing Address12816 135th Avenue Ct EPuyallup, WA 98374-2953 · (253) 968-1831

Phone(253) 968-1831

Sole ProprietorNo

Enumeration DateFebruary 6, 2006

Last NPPES UpdateJanuary 31, 2012

✔ NPI 1073585717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

License✔ Licensed in WA · MD00035489

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

DEPT PEDIATRICS BDAA, Tacoma, WA 98431

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Fairchok M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Fairchok reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System

11 mi

Pediatrics

1706 S MERIDIAN STE 120
Puyallup, WA 98371

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1700396652 (253) 848-8797

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Fairchok's NPI number?

The NPI number for Mary Fairchok is 1073585717. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Mary Fairchok located?

Mary Fairchok practices at Dept Pediatrics Bdaa Madigan Army Medical Center, Tacoma, WA 98431. The listed phone number is (253) 968-1831.

What is Mary Fairchok's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Mary Fairchok enrolled in Medicare?

Yes. Mary Fairchok is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Fairchok's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Fairchok reassigns Medicare benefits to Multicare Health System (Puyallup, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Fairchok's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Fairchok accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mary Fairchok as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Fairchok was last updated on January 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.