Dr Mark J Whalen, MD - Medicare Pathology in Gastonia, NC

Dr Mark J Whalen, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Gastonia, North Carolina. He went to University Of Pittsburgh School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Caromont Medical Group Inc and his current practice location is 2525 Court Dr, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 834-2851.

Dr Mark J Whalen is licensed to practice in North Carolina (license number 95-01148) 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 1891795498.

Contact Information

Dr Mark J Whalen, MD
2525 Court Dr,
Gastonia, NC 28054-2140
(704) 834-2851
(704) 834-2815

Map and Direction




Physician's Profile

Full NameDr Mark J Whalen
GenderMale
SpecialityPathology
Experience34 Years
Location2525 Court Dr, Gastonia, North Carolina
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 J Whalen attended and graduated from University Of Pittsburgh School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1891795498
  • Provider Enumeration Date: 07/26/2005
  • Last Update Date: 01/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5698808962
  • Enrollment ID: I20100806000608

Medical Identifiers

Medical identifiers for Dr Mark J Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891795498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 95-01148 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Caromont Regional Medical CenterGastonia, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Caromont Medical Group Inc3577476258347

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 J Whalen allows following entities to bill medicare on his behalf.
Entity NameCaromont Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356314272
PECOS PAC ID: 3577476258
Enrollment ID: O20031201000070

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 J Whalen 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 J Whalen, MD
4007 Wild Nursery Ct,
Charlotte, NC 28215-5345

Ph: (704) 616-7387
Dr Mark J Whalen, MD
2525 Court Dr,
Gastonia, NC 28054-2140

Ph: (704) 834-2851

Reviews and Comments


Pathology Doctors in Gastonia, NC

Dr. David R Guillen, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1072 X Ray Dr, Gastonia, NC 28054
Phone: 704-671-1094    
Chris Brian Nguyen, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Department Of Pathology, Gaston Memorial Hospital, Gastonia, NC 28054
Phone: 704-915-9579    
Dr. Peter H Wittenberg, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2851    Fax: 704-834-2815
Mara Banks, MD, PHD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2450    Fax: 704-671-5331
Dr. Cheryl Levine, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1740 Montclair Ave, Gastonia, NC 28054
Phone: 704-865-2464    
Jeffrey Todd Bunning, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Court Dr Ste 270, Gastonia, NC 28054
Phone: 704-671-5313    
Jeffrey Ahlstedt,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2851    

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).

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