Caitlin R Maccoun, MD
Individual provider Active NPI Family Medicine Physician · John Day, OR
NPI 1376906586 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1376906586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD187953 (OR)
- Practice address
- 180 Ford Rd
John Day, OR 97845-2009 - Phone
- (206) 386-6111
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Public Hospital District No 2 Skagit County Washington
Practice addresses (Care Compare)
1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1350
2511 M Ave
Anacortes, WA 98221-3897
Phone (360) 299-4211
Hospital & facility affiliations
- Island Hospital
- Whidbeyhealth Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190725001015 | WA | Practitioner - Family Practice | 3678851946 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Finance | Current |
Accepting new patients | |
| King County Finance | Current |
Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current |
Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current |
Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Past | Accepting new patients |
Locations
1213 24th St
Ste 100
Anacortes, WA 98221
Phone (360) 293-3101
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101
7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101
2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755
401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975
Interoperability endpoints
- cmaccoun@direct.bmh.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60938324 | WA | |
| Family Medicine Physician | 207Q00000X | MD187953 | OR | Yes |
Addresses
Primary practice location
180 Ford Rd
John Day, OR 97845-2009
Mailing address
180 Ford Rd
John Day, OR 97845-2009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376906586 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caitlin-maccoun@swcc-oregon.e-mdsdirect.com | Direct |
Other providers in John Day, OR
- Lens Clinical Services
- Colleen Therese Lindley
- Lindsay P. Madden, FNP PC
- Deborah Lizotte
- Angela Rae Lusco
- Jessica Lee Madden
- Linda Maldonado
- Kaona R Martell
- Dawn Marten
- Stephen Robert McGuire
All providers in John Day, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.