Dr Mark Edward Fenzl, DO is a
General Practice physician based in Forest, Ohio. Dr Mark Edward Fenzl is licensed to practice in Ohio (license number 34.008871) and his current practice location is 216 E Lima St, Forest, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 273-2553.
NPI number for Dr Mark Edward Fenzl is 1790993137 and his current mailing address is 216 E Lima St, Forest, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790993137.
Physician's Profile
| Full Name | Dr Mark Edward Fenzl |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
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| Location | 216 E Lima St, Forest, Ohio |
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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: 1790993137
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 05/26/2009
Medical Identifiers
Medical identifiers for Dr Mark Edward Fenzl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790993137 | NPI | - | NPPES |
| P00681969 | Other | OH | RAILROAD CARE |
| 2902854 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 34.008871 (Ohio) | 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 Edward Fenzl 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 Edward Fenzl, DO
216 E Lima St,
Forest, OH 45843-1118
Ph: (419) 273-2553 | Dr Mark Edward Fenzl, DO
216 E Lima St,
Forest, OH 45843-1118
Ph: (419) 273-2553 |
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