MAN WAH MACKIE CHAN MD
NPI 1598408742
Family Medicine in Lacey, WA

Q: What is Man Wah Mackie Chan's NPI number?

The NPI number for Man Wah Mackie Chan is 1598408742. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Man Wah Mackie Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 15, 2022PECOS EnrolledAccepts Medicare Assignment

2555 MARVIN RD NE, LACEY, WA 98516(360) 413-4200(360) 413-4225 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Apr 15, 2022 (2 updates tracked since 2022).

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About Man Wah Mackie Chan Md NPPES

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

MAN WAH MACKIE CHAN MD (NPI 1598408742) is an individual family medicine provider in Lacey, Washington, licensed in Washington (MD61626992) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1598408742

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMAN WAH MACKIE CHANCredential: MD

Location Address2555 MARVIN RD NELacey, WA 98516-3138

Mailing Address2555 Marvin Rd NeLacey, WA 98516-3138 · (360) 413-4200 · Fax (360) 413-4225

Phone(360) 413-4200

Fax(360) 413-4225

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 15, 2022

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1598408742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD61626992

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2555 MARVIN RD NE, Lacey, WA 98516

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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, Providence Health Plan.Insurance ›

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

Man Wah Mackie Chan Md 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 ID8729578661

PECOS Enrollment IDI20251107003253

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

CARRIE WELTY ARNP

Nurse Practitioner (Family)

2555 MARVIN RD NE, PMG SW WA HAWKS PRAIRIE FM
LACEY, WA 98516

Thurston County (360) 413-4200

RANDELLE JOHNSON ARNP

Family Medicine