Dr Mark Anthony Wendolowski, MD in Jackson, TN

Dr Mark Anthony Wendolowski, MD is a medicare enrolled "Family Medicine" physician in Jackson, Tennessee. His current practice location is 294 Summar Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 423-1931.

Dr Mark Anthony Wendolowski is licensed to practice in Alabama (license number 41411) 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 1396206371.

Contact Information

	Dr Mark Anthony Wendolowski, MD
	294 Summar Dr, Jackson, TN 38301-3915
	(731) 423-1931
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mark Anthony Wendolowski
Gender	Male
Speciality	Family Medicine
Location	294 Summar Dr, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396206371
Provider Enumeration Date: 03/30/2019
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9133461940
Enrollment ID: I20220808000380

Medical Identifiers

Medical identifiers for Dr Mark Anthony Wendolowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396206371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	41411 (Alabama)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Anthony Wendolowski allows following entities to bill medicare on his behalf.

Entity Name	Emergency Medical Care Facilities Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565

Entity Name	Wt University Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023572344 PECOS PAC ID: 3779824719 Enrollment ID: O20190401001719

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 Wendolowski 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 Anthony Wendolowski, MD 202 Count Fleet Ct, Madison, AL 35756-4296 Ph: (670) 790-4262	Dr Mark Anthony Wendolowski, MD 294 Summar Dr, Jackson, TN 38301-3915 Ph: (731) 423-1931

Reviews and Comments

Family Medicine Doctors in Jackson, TN

Parker Panovec, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305 Phone: 731-660-8360 Fax: 731-664-7928
Michael James Martin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-410-0367
Melissa A Robbins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Drive, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-423-4919
Dr. Ezekiel Oladejo Adetunji, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Murray Guard Dr, Jackson, TN 38305 Phone: 731-300-3168 Fax: 731-300-3169
Kenneth R. Warren, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305 Phone: 731-664-0103 Fax: 731-664-5666
Anna Elizabeth Glass Burgess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-664-1378
Christopher Reyes Caangay, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3755

Dr Mark Anthony Wendolowski, MD - Medicare Family Medicine in Jackson, TN