Mark Alexander Nizza, DMD, MD is a
Oral & Maxillofacial Surgery based in South Bend, Indiana. Mark Alexander Nizza is licensed to practice in Indiana (license number 12013970A) and his current practice location is
3367 Douglas Rd, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at
(574) 272-8823.
NPI number for Mark Alexander Nizza is 1265921878 and his current mailing address is 3367 Douglas Rd, South Bend, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265921878.
Healthcare Provider's Profile
Full Name | Mark Alexander Nizza |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 3367 Douglas Rd, South Bend, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265921878
- Provider Enumeration Date: 05/09/2018
- Last Update Date: 08/21/2024
Medical Identifiers
Medical identifiers for Mark Alexander Nizza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265921878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30.025947 (Ohio) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 12013970A (Indiana) | 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. Mark Alexander Nizza 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 |
Mark Alexander Nizza, DMD, MD 3367 Douglas Rd, South Bend, IN 46635-1779 Ph: (574) 272-8823 | Mark Alexander Nizza, DMD, MD 3367 Douglas Rd, South Bend, IN 46635-1779 Ph: (574) 272-8823 |
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