Dr Marc D Friduss, DDS is a medicare enrolled "Dentist" provider in Eight Mile, Alabama. His current practice location is
4547 Saint Stephens Rd, Eight Mile, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 456-1399.
Dr Marc D Friduss is licensed to practice in Alabama (license number LNO 5731) 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 1699702159.
Healthcare Provider's Profile
Full Name | Dr Marc D Friduss |
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Gender | Male |
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Speciality | Dentist |
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Location | 4547 Saint Stephens Rd, Eight Mile, Alabama |
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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: 1699702159
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 05/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 7315350287
- Enrollment ID: I20210114000382
Medical Identifiers
Medical identifiers for Dr Marc D Friduss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699702159 | NPI | - | NPPES |
011846 | Other | AL | MEDICARE GROUP NUMBER |
1063439065 | Other | AL | NPI GROUP PAYEE NUMBER |
630000013 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019018828 (Illinois) | Secondary |
122300000X | Dentist | LNO 5731 (Alabama) | 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. Dr Marc D Friduss allows following entities to bill medicare on his behalf.
Entity Name | Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598788218 PECOS PAC ID: 1557324811 Enrollment ID: O20041201000952 |
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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. Dr Marc D Friduss 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 |
Dr Marc D Friduss, DDS 1725 E Sherman Blvd, Muskegon, MI 49444-1862 Ph: (231) 737-0037 | Dr Marc D Friduss, DDS 4547 Saint Stephens Rd, Eight Mile, AL 36613-3563 Ph: (251) 456-1399 |
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