Dr Mark Hyman, DDS is a medicare enrolled "Dentist" provider in Swan Lake, New York. His current practice location is
4504 Route 55, Daytop Village Dental, Swan Lake, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 292-6714.
Dr Mark Hyman is licensed to practice in New York (license number 042422) 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 1053426270.
Healthcare Provider's Profile
| Full Name | Dr Mark Hyman |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 4504 Route 55, Swan Lake, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053426270
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 08/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 0941516173
- Enrollment ID: I20150902000562
Medical Identifiers
Medical identifiers for Dr Mark Hyman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053426270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 042422 (New York) | 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. Dr Mark Hyman 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 Mark Hyman, DDS
232 Hill Rd,
Goshen, NY 10924-5057
Ph: (845) 294-2840 | Dr Mark Hyman, DDS
4504 Route 55, Daytop Village Dental,
Swan Lake, NY 12783
Ph: (845) 292-6714 |
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