Dr Mark Anthony Lizak, MD is a
Otolaryngology - Otology & Neurotology physician based in Supply, North Carolina. Dr Mark Anthony Lizak is licensed to practice in North Carolina (license number 35760) and his current practice location is 14 Medical Center Drive, Supply, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 754-2920.
NPI number for Dr Mark Anthony Lizak is 1790759934 and his current mailing address is 14 Medical Center Drive, Supply, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790759934.
Physician's Profile
| Full Name | Dr Mark Anthony Lizak |
|---|
| Gender | Male |
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| Speciality | Otolaryngology - Otology & Neurotology |
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| Location | 14 Medical Center Drive, Supply, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790759934
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 10/14/2011
Medical Identifiers
Medical identifiers for Dr Mark Anthony Lizak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790759934 | NPI | - | NPPES |
| 0295N | Other | NC | BCBS |
| 8952324 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0901X | Otolaryngology - Otology & Neurotology | 35760 (North Carolina) | Primary |
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 Anthony Lizak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Anthony Lizak, MD
14 Medical Center Drive,
Supply, NC 28462-3350
Ph: (910) 754-2920 | Dr Mark Anthony Lizak, MD
14 Medical Center Drive,
Supply, NC 28462-3350
Ph: (910) 754-2920 |
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