Dr Mark E Mcclinton, MD - Medicare Otolaryngology in Newnan, GA

Dr Mark E Mcclinton, MD is a medicare enrolled "Otolaryngology" physician in Newnan, Georgia. He went to Tulane University School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Otolaryngology. His current practice location is 2301 Newnan Crossing Blvd E Ste 120, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 683-2155.

Dr Mark E Mcclinton is licensed to practice in Georgia (license number 068453) 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 1558355263.

Contact Information

Dr Mark E Mcclinton, MD
2301 Newnan Crossing Blvd E Ste 120,
Newnan, GA 30265-2542
(770) 683-2155
(770) 683-2154

Map and Direction




Physician's Profile

Full NameDr Mark E Mcclinton
GenderMale
SpecialityOtolaryngology
Experience31 Years
Location2301 Newnan Crossing Blvd E Ste 120, Newnan, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark E Mcclinton attended and graduated from Tulane University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1558355263
  • Provider Enumeration Date: 09/08/2005
  • Last Update Date: 07/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385730852
  • Enrollment ID: I20120928000267

Medical Identifiers

Medical identifiers for Dr Mark E Mcclinton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558355263NPI-NPPES
264617000MedicaidFL
4165410OtherTNBLUE CROSS BLUE SHIELD
3000787OtherTNMEDICARE PTAN
3000787MedicaidTN
2831191OtherFLAETNA
003127397AMedicaidGA
003127397BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 068453 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Newnan Hospital, IncNewnan, GAHospital
Piedmont Fayette HospitalFayetteville, GAHospital

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 E Mcclinton allows following entities to bill medicare on his behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117
Entity NameMcclinton Ent Of Newnan, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265091847
PECOS PAC ID: 5890029789
Enrollment ID: O20191231002030

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 E Mcclinton 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 AddressPractice Location Address
Dr Mark E Mcclinton, MD
2301 Newnan Crossing Blvd E Ste 120,
Newnan, GA 30265-2542

Ph: (770) 683-2155
Dr Mark E Mcclinton, MD
2301 Newnan Crossing Blvd E Ste 120,
Newnan, GA 30265-2542

Ph: (770) 683-2155

Reviews and Comments


Otolaryngology Doctors in Newnan, GA

Dr. Frederick Letois Durden Jr., MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 600 Celebrate Life Pkwy, Suite 350, Newnan, GA 30265
Phone: 770-400-7620    
Dr. George H. Livermore Iii, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1595 Highway 34 E, Newnan, GA 30265
Phone: 678-206-2202    Fax: 678-673-5155
James G. Burson, M.D.
Otolaryngology
Medicare: May Accept Medicare Assignments
Practice Location: 2080 Newnan Crossing Blvd E, Suite 200, Newnan, GA 30265
Phone: 770-955-0272    Fax: 770-955-0273
N Hadley Heindel Iii, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2080 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265
Phone: 770-955-0270    Fax: 770-955-0271

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.