Dr Marc Alan Booth, MD is a medicare enrolled "Ophthalmology" physician in Michigan City, Indiana. He went to University Of California, San Diego School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Unc Physicians And Associates and his current practice location is
1225 E Coolspring Ave Ste 1-b, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 879-6531.
Dr Marc Alan Booth is licensed to practice in Indiana (license number 01061093A) 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 1275515710.
Physician's Profile
| Full Name | Dr Marc Alan Booth |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 26 Years |
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| Location | 1225 E Coolspring Ave Ste 1-b, Michigan City, Indiana |
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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. |
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Medical Education and Training:
- Dr Marc Alan Booth attended and graduated from University Of California, San Diego School Of Medicine in 1998
NPI Data:
- NPI Number: 1275515710
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 02/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153310875
- Enrollment ID: I20230327000779
Medical Identifiers
Medical identifiers for Dr Marc Alan Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275515710 | NPI | - | NPPES |
| 200527370 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 01061093A (Indiana) | Primary |
| 207W00000X | Ophthalmology | 2023-00058 (North Carolina) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Unc Physicians And Associates | 0648181156 | 1736 |
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 Alan Booth allows following entities to bill medicare on his behalf.
| Entity Name | University Of North Carolina At Chapel Hill |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359 |
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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 Alan 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 |
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Dr Marc Alan Booth, MD
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Dr Marc Alan Booth, MD
1225 E Coolspring Ave Ste 1-b,
Michigan City, IN 46360-6312
Ph: (219) 879-6531 |
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