Dr Mark Libertin, MD is a
Obstetrics & Gynecology physician based in Highland Heights, Ohio. Dr Mark Libertin is licensed to practice in Ohio (license number 35055788L) and his current practice location is 6229 N Applecross Rd, Highland Heights, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 646-1651.
NPI number for Dr Mark Libertin is 1184608770 and his current mailing address is 6229 N Applecross Rd, Highland Heights, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184608770.
Physician's Profile
| Full Name | Dr Mark Libertin |
|---|
| Gender | Male |
|---|
| Speciality | Obstetrics & Gynecology |
|---|
| Location | 6229 N Applecross Rd, Highland Heights, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184608770
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 10/08/2012
Medical Identifiers
Medical identifiers for Dr Mark Libertin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184608770 | NPI | - | NPPES |
| 1879024002 | Other | OH | CIGNA |
| 341865880001 | Other | OH | MEDICAL MUTUAL |
| 50875 | Other | OH | QUALCHOICE |
| 000000140712 | Other | OH | ANTHEM |
| 2060479 | Medicaid | OH | |
| 341865880028 | Other | OH | CARESOURCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 35055788L (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 Libertin 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 Libertin, MD
6229 N Applecross Rd,
Highland Heights, OH 44143-3726
Ph: (440) 646-1651 | Dr Mark Libertin, MD
6229 N Applecross Rd,
Highland Heights, OH 44143-3726
Ph: (440) 646-1651 |
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