Mr Mark Bradley Skinner, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Delaware, Ohio. His current practice location is
824 Bowtown Rd, Delaware, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 369-7688.
Mr Mark Bradley Skinner is licensed to practice in Ohio (license number COA.15326.NP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699860809.
Healthcare Provider's Profile
Full Name | Mr Mark Bradley Skinner |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 824 Bowtown Rd, Delaware, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699860809
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 11/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 8820045339
- Enrollment ID: I20140507000937
Medical Identifiers
Medical identifiers for Mr Mark Bradley Skinner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699860809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I10219 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | COA.15326.NP (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mark Bradley Skinner allows following entities to bill medicare on his behalf.
Entity Name | Dublin Springs Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831501584 PECOS PAC ID: 1850511379 Enrollment ID: O20141006001234 |
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Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210722002646 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Bradley Skinner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mark Bradley Skinner, CNP 824 Bowtown Rd, Delaware, OH 43015-9661 Ph: (740) 369-7688 | Mr Mark Bradley Skinner, CNP 824 Bowtown Rd, Delaware, OH 43015-9661 Ph: (740) 369-7688 |
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