Dr Mark Antony Laporta, MD is a medicare enrolled "Internal Medicine" physician in Roseland, Florida. His current practice location is
13305 Roseland Road #456, Mark Antony Laporta Md Facp Locums Not Patients, Roseland, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 388-9595.
Dr Mark Antony Laporta is licensed to practice in Florida (license number ME41885) 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 1720168826.
Physician's Profile
| Full Name | Dr Mark Antony Laporta |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 13305 Roseland Road #456, Roseland, Florida |
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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: 1720168826
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 04/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 9032247895
- Enrollment ID: I20100514000615
Medical Identifiers
Medical identifiers for Dr Mark Antony Laporta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720168826 | NPI | - | NPPES |
| 067-060766 | Medicaid | FL | |
| 96222 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | FLME0041885 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME41885 (Florida) | 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 Antony Laporta allows following entities to bill medicare on his behalf.
| Entity Name | Indian River Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710933031
PECOS PAC ID: 9234130329
Enrollment ID: O20070116000060 |
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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 Antony Laporta 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 Antony Laporta, MD
Po Box 456,
Roseland, FL 32957-0456
Ph: (772) 388-9595 | Dr Mark Antony Laporta, MD
13305 Roseland Road #456, Mark Antony Laporta Md Facp Locums Not Patients,
Roseland, FL 32957-0456
Ph: (772) 388-9595 |
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