Services & Treatments

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About Palouse Heart Center

Palouse Heart Center is led by Dr. Marek Janout, MD, and conveniently located within the Pullman Regional Hospital complex. 

If you or your primary care physician are concerned about your heart health, it is recommended you seek a board-certified cardiologist. There are several symptoms that signal you may have a significant heart or related condition. These symptoms may be different among men or women and can include shortness of breath, chest pains, dizzy spells, and more.

Palouse Heart Center is a member of the Pullman Regional Hospital Clinic Network, providing access to primary healthcare for the region.

Contact Us: (509) 336-7577

Referrals fax: (509) 715-2132



Our services & Treatments

If you are experiencing a life-threatening emergency, please call 911 or go to the nearest emergency room.


Heart failure, sometimes known as congestive heart failure, occurs when your heart muscle doesn't pump blood as well as it should.
Coronary heart disease (CHD) is a disease in which a waxy substance called plaque builds up inside the coronary arteries.
An abnormal heart rhythm is when your heart beats too fast, slow, or irregularly. This is also called an arrhythmia.
An echocardiogram (echo) is a test that uses high frequency sound waves (ultrasound) to make pictures of your heart.

An implant loop is a small device about the size of a pack of chewing gum that is implanted under the skin of the chest for cardiac monitoring.


Patient Resources & Forms

Contracted Insurance Companies, PPO & HMO with Copays or Deductibles

Palouse Heart Center is a preferred provider for the following companies:

  • Aetna
  • Amerigroup
  • Asuris
  • Blue Cross of Idaho
  • Cigna
  • Community Health Plan of Wash.
  • Coordinated Care/Cenpatico
  • First Choice Health Ntwk (FCHN)
  • GEHA (Aetna)
  • Group Health/Kaiser
  • Health Net Federal Svcs (HNFS)
  • ID Medicaid/Optum Idaho
  • L&I/Crime Victims
  • Medicare WA
  • Molina Washington
  • Premera
  • Regence of ID
  • RR Medicare
  • TriWest VAPC3
  • United Healthcare (UHC Optum)
  • WA Medicaid - Providerone


Non-Contracted or Other Insurance Carriers

We are willing to bill any insurance for you. However we are not contracted with all of the insurance companies. This means that you may be responsible for more of your bill.

Co-pays or co-insurance payments are expected at the time of service. We do expect some payment at each visit. For your convenience, we do take Master Card and Visa.

If you have questions regarding your bill, please call (509) 332-1163 and our office staff will be happy to help you.


Patients Without Insurance Coverage

We offer a 20% discount for patients that do not have insurance and pay their bill at the time of service. Payment plans are available if you are unable to pay in full.


Please contact our Patient Financial Services team:

840 SE Bishop Blvd, Ste 101
Pullman, WA 99163 (map)
Phone: (509) 332-1163
Fax: (509) 332-6579

Monday – Friday, 8:00 a.m. – 5:00 p.m.
Closed on Saturdays & Sundays

You are welcome to call 509-336-7577 or email us to request an appointment. We will schedule your appointment as quickly as possible.

What to Bring

  • Please bring any written records of your medical history you may have.
  • Bring your immunization records.
  • Bring any medications you are currently using.
  • Bring your insurance card. Insurance co-payments are expected at time of service. If you have no insurance, please contact us.


Our Providers


Dr. Janout is a member of the American College of Cardiology. He has extensive experience teaching clinical rotations of internal medicine and family medicine residents and looks forward to working with the Family Medicine Residency Program here in Pullman. Previous to joining the Pullman Regional team, Dr. Janout worked as a General Adult Cardiologist at Kootenai Heart Clinics Northwest.

Dr. Janout likes cardiology because he likes to utilize technology and data to get to the bottom of things and solve problems for patients as a team. Dr. Janout appreciates the complexities and constant evolution of medicine: he’s been the principle investigator and sub-investigator on a number of clinical trials and research.

Outside of work, Dr. Janout enjoys Masters swimming- even competing at the International Championship of the Czech Republic! He is also a USA Swimming-certified official and enjoys volunteering at age group swim meets.

His education:

Undergraduate: Bachelor of Art in Biology, Carroll College

Medical School: Creighton University School of Medicine

Internal Medicine Residency: University of Illinois at Chicago

Adult Cardiology Fellowship: University of Illinois at Chicago




Location | Contact Us

Palouse Heart Center


My dad has been a patient here for more than a year. Dr. Jones is very attentive, caring, and respectful every time we meet. He always took the time to ask questions, and explain pros and cons of treatment options. I highly recommend Dr. Jones for care.

Thanh-Xuan Nguyen
Pullman, WA

I have seen Dr. Jones twice and have a third appointment coming this week. My mom is a patient of his and recommended him. I can say for the both of us, we are very happy with the level of his care. He is attentive, as is his staff, too. I highly recommend Dr. Jones.

Rhonda Knox
Pullman, WA

Dr. Jones and everyone in the office were exceptionally great. 

Allen Shallbetter
Pullman, WA