Dr Mark A Booth, MD is a medicare enrolled "Family Medicine" physician in Homer, Michigan. His current practice location is
420 S Hillsdale St, Homer, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 568-4481.
Dr Mark A Booth is licensed to practice in Michigan (license number 4301043850) 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 1518922863.
Physician's Profile
| Full Name | Dr Mark A Booth |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 420 S Hillsdale St, Homer, Michigan |
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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: 1518922863
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 12/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 1254405491
- Enrollment ID: I20080805000862
Medical Identifiers
Medical identifiers for Dr Mark A Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518922863 | NPI | - | NPPES |
| 080157041 | Other | MI | RAILROAD MEDICARE |
| 080A360590 | Other | MI | BLUE CROSS BLUE SHIELD |
| 103118050 | Medicaid | MI | |
| DA0352 | Other | MI | RAILROAD MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 4301043850 (Michigan) | Primary |
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 Mark A Booth allows following entities to bill medicare on his behalf.
| Entity Name | Ella E M Brown Charitable Circle |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366591794
PECOS PAC ID: 1254228745
Enrollment ID: O20040616001008 |
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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 Mark A 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 Mark A Booth, MD
420 S Hillsdale St,
Homer, MI 49245-1248
Ph: (517) 568-4481 | Dr Mark A Booth, MD
420 S Hillsdale St,
Homer, MI 49245-1248
Ph: (517) 568-4481 |
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