MR. MARK ALLAN GREENWALT PA-C
NPI 1083435424
Physician Assistant - Medical in Tacoma, WA

Active since October 18, 2024PECOS EnrolledAccepts Medicare Assignment
9505 S STEELE ST, TACOMA, WA 98444(253) 597-6800 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Mark Allan Greenwalt Pa-c NPPES

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

MR. MARK ALLAN GREENWALT PA-C (NPI 1083435424) is an individual medical provider in Tacoma, Washington, licensed in Washington (PA61611340) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083435424
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARK ALLAN GREENWALTCredential: PA-C
Location Address9505 S STEELE STTacoma, WA 98444-1858
Mailing Address9505 S Steele StTacoma, WA 98444-1858 · (253) 597-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2024
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
NPI 1083435424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA61611340
9505 S STEELE ST, Tacoma, WA 98444

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Allan Greenwalt Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769910785
PECOS Enrollment IDI20250103002251
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
9505 S STEELE ST
TACOMA, WA 98444
Family Medicine
9505 S STEELE ST
TACOMA, WA 98444
Pediatrics
9505 S STEELE ST
TACOMA, WA 98444
Family Medicine
9505 S STEELE ST
TACOMA, WA 98444
Family Medicine
9505 S STEELE ST
TACOMA, WA 98444
Pharmacist
9505 S STEELE ST
TACOMA, WA 98444
Dietitian, Registered
9505 S STEELE ST
TACOMA, WA 98444
Pharmacist
9505 S STEELE ST
TACOMA, WA 98444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083435424, enumerated as an "individual" on October 18, 2024.

The provider is located at 9505 S STEELE ST TACOMA, WA 98444 and the phone number is (253) 597-6800.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.