Dr Mark A Kaplan, MD - Medicare Pathology in Upland, PA

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Dr Mark A Kaplan, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Upland, Pennsylvania. He went to Hahnemann University College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Prospect Health Access Network Inc and his current practice location is 1 Medical Center Blvd, Upland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 447-2282.

Dr Mark A Kaplan is licensed to practice in Pennsylvania (license number MD052168L) 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 1215925052.

Contact Information

Dr Mark A Kaplan, MD
1 Medical Center Blvd,
Upland, PA 19013-3902
(610) 447-2282
(610) 447-2254

Map and Direction




Physician's Profile

Full NameDr Mark A Kaplan
GenderMale
SpecialityPathology
Experience35 Years
Location1 Medical Center Blvd, Upland, Pennsylvania
Accepts Medicare AssignmentsYes. 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 Mark A Kaplan attended and graduated from Hahnemann University College Of Medicine in 1989
  NPI Data:
  • NPI Number: 1215925052
  • Provider Enumeration Date: 10/06/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9133311129
  • Enrollment ID: I20101008000694

Medical Identifiers

Medical identifiers for Dr Mark A Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215925052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD052168L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crozer Chester Medical CenterUpland, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Health Access Network Inc5698065142206

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 Kaplan allows following entities to bill medicare on his behalf.
Entity NameProspect Health Access Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568819084
PECOS PAC ID: 5698065142
Enrollment ID: O20160613000737

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 Kaplan 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 AddressPractice Location Address
Dr Mark A Kaplan, MD
2501 Oregon Pike, Suite 101,
Lancaster, PA 17601-4890

Ph: (717) 293-3223		Dr Mark A Kaplan, MD
1 Medical Center Blvd,
Upland, PA 19013-3902

Ph: (610) 447-2282

Reviews and Comments


Pathology Doctors in Upland, PA

Dr. Harvey B Spector, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Blvd, Upland, PA 19013
Phone: 610-447-2282    Fax: 610-447-2254
Dr. Laura D. Jacobson, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: One Medical Center Blvd, Crozer-chester Medical Center, Upland, PA 19013
Phone: 610-447-2237    Fax: 610-447-2274
Dr. Nayere S Zaeri, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Blvd, Upland, PA 19013
Phone: 610-447-2282    Fax: 610-447-2254

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.