Dr Mark Allen Grevious, MD is a medicare enrolled "Plastic Surgery" physician in Munster, Indiana. He went to Rutgers New Jersey Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Rockford Health Physicians, Presence Healthcare Services, Cook County and his current practice location is
7905 Calumet Ave, Munster, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 836-7506.
Dr Mark Allen Grevious is licensed to practice in Minnesota (license number 72578) 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 1194727909.
Physician's Profile
Full Name | Dr Mark Allen Grevious |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 30 Years |
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Location | 7905 Calumet Ave, Munster, 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. |
Medical Education and Training:
- Dr Mark Allen Grevious attended and graduated from Rutgers New Jersey Medical School in 1994
NPI Data:
- NPI Number: 1194727909
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840201885
- Enrollment ID: I20060505000390
Medical Identifiers
Medical identifiers for Dr Mark Allen Grevious such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194727909 | NPI | - | NPPES |
036-100551-1 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 01060561A (Indiana) | Secondary |
208200000X | Plastic Surgery | 036100551 (Illinois) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036100551 (Illinois) | Secondary |
208200000X | Plastic Surgery | 72578 (Minnesota) | Primary |
208600000X | Surgery | 036100551 (Illinois) | Secondary |
208600000X | Surgery | 01060561A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Rockford Health Physicians | 2567374036 | 304 |
Presence Healthcare Services | 2860396769 | 317 |
Cook County | 2860398088 | 645 |
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 Allen Grevious allows following entities to bill medicare on his behalf.
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
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Entity Name | Specialty Physicians Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
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Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
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Entity Name | Presence Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
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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 Allen Grevious 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 Allen Grevious, MD 849 W Ohio St, Chicago, IL 60642-6982 Ph: () - | Dr Mark Allen Grevious, MD 7905 Calumet Ave, Munster, IN 46321-2549 Ph: (219) 836-7506 |
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