Dr Mariel Bird, DO is a medicare enrolled "Dermatology" physician in Boardman, Ohio. She went to Mid West Medical College and graduated in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Optima Dermatology Llc and her current practice location is
987 Boardman Canfield Rd, Boardman, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 965-8760.
Dr Mariel Bird is licensed to practice in Ohio (license number 34.012984) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093020133.
Physician's Profile
| Full Name | Dr Mariel Bird |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 14 Years |
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| Location | 987 Boardman Canfield Rd, Boardman, Ohio |
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| Accepts Medicare Assignments | Yes. She 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 Mariel Bird attended and graduated from Mid West Medical College in 2010
NPI Data:
- NPI Number: 1093020133
- Provider Enumeration Date: 08/13/2010
- Last Update Date: 02/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 0042434557
- Enrollment ID: I20200519001043
Medical Identifiers
Medical identifiers for Dr Mariel Bird such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093020133 | NPI | - | NPPES |
| Z166728 | Other | AZ | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 006424 (Arizona) | Secondary |
| 208D00000X | General Practice | UO2494 (Florida) | Secondary |
| 207N00000X | Dermatology | 34.012984 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Optima Dermatology Llc | 3971561648 | 47 |
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 Mariel Bird allows following entities to bill medicare on her behalf.
| Entity Name | Optima Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831187764
PECOS PAC ID: 3971561648
Enrollment ID: O20041228000548 |
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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 Mariel Bird 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 Mariel Bird, DO
987 Boardman Canfield Rd,
Boardman, OH 44512-4222
Ph: (330) 965-8760 | Dr Mariel Bird, DO
987 Boardman Canfield Rd,
Boardman, OH 44512-4222
Ph: (330) 965-8760 |
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