Mr Mark Edward Ross, CATC II is a
Community Health Worker based in Belmont, California. Mr Mark Edward Ross is licensed to practice in California (license number ) and his current practice location is
310 Harbor Blvd Bldg E, Belmont, California. He can be reached at his office (for appointments etc.) via phone at
(650) 802-6400.
NPI number for Mr Mark Edward Ross is 1225465040 and his current mailing address is 310 Harbor Blvd Bldg E, Belmont, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225465040.
Healthcare Provider's Profile
| Full Name | Mr Mark Edward Ross |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 310 Harbor Blvd Bldg E, Belmont, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225465040
- Provider Enumeration Date: 10/11/2013
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mr Mark Edward Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225465040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Primary |
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 Edward Ross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark Edward Ross, CATC II
310 Harbor Blvd Bldg E,
Belmont, CA 94002-4018
Ph: (650) 802-6400 | Mr Mark Edward Ross, CATC II
310 Harbor Blvd Bldg E,
Belmont, CA 94002-4018
Ph: (650) 802-6400 |
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