Dr Mark Allen Grevious, MD is a medicare enrolled "Plastic Surgery" physician in Munster, Indiana. 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 |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | 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. |
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Medical Education and Training:
- Dr Mark Allen Grevious attended and graduated from in
NPI Data:
- NPI Number: 1194727909
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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