Dr Mark Gettleman, MD - Medicare Pediatrics in Gilbert, AZ

Dr Mark Gettleman, MD is a medicare enrolled "Pediatrics" physician in Gilbert, Arizona. His current practice location is 1790 E Boston St, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 933-3549.

Dr Mark Gettleman is licensed to practice in Arizona (license number 23947) 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 1801989611.

Contact Information

Dr Mark Gettleman, MD
1790 E Boston St,
Gilbert, AZ 85295-6247
(602) 933-3549
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark Gettleman
GenderMale
SpecialityPediatrics
Location1790 E Boston St, Gilbert, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801989611
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 03/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678871308
  • Enrollment ID: I20160413002390

Medical Identifiers

Medical identifiers for Dr Mark Gettleman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801989611NPI-NPPES
2055783MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD60622294 (Washington)Secondary
208000000XPediatrics 23947 (Arizona)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 Gettleman allows following entities to bill medicare on his behalf.
Entity NameOptum Care Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922
Entity NameLewis County Community Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134164692
PECOS PAC ID: 6002803749
Enrollment ID: O20040426001899

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 Gettleman 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 Gettleman, MD
2108 E Thomas Rd Ste 130,
Phoenix, AZ 85016-0008

Ph: (029) 331-8136
Dr Mark Gettleman, MD
1790 E Boston St,
Gilbert, AZ 85295-6247

Ph: (602) 933-3549

Reviews and Comments


Pediatrics Doctors in Gilbert, AZ

Dr. Pamela Sue Griffiths, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3555 S Val Vista Dr, Gilbert, AZ 85297
Phone: 602-933-6345    Fax: 602-933-8975
Robin Laks, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2550 E Guadalupe Rd, #115, Gilbert, AZ 85234
Phone: 480-214-2300    Fax: 480-214-2301
James Smith, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2550 E Guadalupe Rd, #115, Gilbert, AZ 85234
Phone: 480-214-2300    Fax: 480-214-2300
Dr. Sharon Ann Novy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1425 W Elliot Rd, Suite 204, Gilbert, AZ 85233
Phone: 480-792-1012    Fax: 480-792-1013
Sonal S Shah, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4100 S Lindsay Rd, Ste 126, Gilbert, AZ 85297
Phone: 480-892-3500    Fax: 480-892-0695
Colin K Kelly,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4132 E Morrison Ranch Pkwy, Gilbert, AZ 85296
Phone: 801-560-9613    
Larry Loren James, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 120 S Val Vista Dr, Gilbert, AZ 85296
Phone: 480-733-6500    Fax: 480-633-3794

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.