Dr Greg Mark Booth, MD PHD is a medicare enrolled "Internal Medicine" physician in Hampstead, Maryland. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lifebridge Primary Care Of North Carroll Llc and his current practice location is
4231 N Woods Trl, Hampstead, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 374-9391.
Dr Greg Mark Booth is licensed to practice in Maryland (license number D0077059) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063674174.
Physician's Profile
Full Name | Dr Greg Mark Booth |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 21 Years |
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Location | 4231 N Woods Trl, Hampstead, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Greg Mark Booth attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2003
NPI Data:
- NPI Number: 1063674174
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567761547
- Enrollment ID: I20160426000109
Medical Identifiers
Medical identifiers for Dr Greg Mark Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063674174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | D0077059 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lifebridge Primary Care Of North Carroll Llc | 2769709393 | 7 |
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 Greg Mark Booth allows following entities to bill medicare on his behalf.
Entity Name | Lifebridge Primary Care Of North Carroll Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811398175 PECOS PAC ID: 2769709393 Enrollment ID: O20150319001691 |
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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 Greg Mark Booth 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 Greg Mark Booth, MD PHD 4231 N Woods Trl, Hampstead, MD 21074-3128 Ph: (410) 374-9391 | Dr Greg Mark Booth, MD PHD 4231 N Woods Trl, Hampstead, MD 21074-3128 Ph: (410) 374-9391 |
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