Dr Mark Andrew Hiesterman, DO is a medicare enrolled "Surgery" physician in Glasgow, Montana. His current practice location is
221 5th Ave S, Glasgow, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 228-3536.
Dr Mark Andrew Hiesterman is licensed to practice in Montana (license number 131349) 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 1699980367.
Physician's Profile
| Full Name | Dr Mark Andrew Hiesterman |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 221 5th Ave S, Glasgow, Montana |
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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: 1699980367
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 08/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658542022
- Enrollment ID: I20110914000701
Medical Identifiers
Medical identifiers for Dr Mark Andrew Hiesterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699980367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | OP60226290 (Washington) | Secondary |
| 208600000X | Surgery | 131349 (Montana) | 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 Andrew Hiesterman allows following entities to bill medicare on his behalf.
| Entity Name | Pro Health One Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053714584
PECOS PAC ID: 2466778089
Enrollment ID: O20230413000275 |
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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 Andrew Hiesterman 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 |
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Dr Mark Andrew Hiesterman, DO
16201 E Indiana Ave, Suite 3100,
Spokane Valley, WA 99216-2830
Ph: (509) 891-8904 | Dr Mark Andrew Hiesterman, DO
221 5th Ave S,
Glasgow, MT 59230-2600
Ph: (406) 228-3536 |
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