Dr Mark Lowell Higdon, DO - Medicare Family Practice in Cornelius, NC

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Dr Mark Lowell Higdon, DO is a medicare enrolled "Family Medicine" physician in Cornelius, North Carolina. He went to West Virginia School Of Osteopathic Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Novant Medical Group Inc and his current practice location is 19485 Old Jetton Rd Ste 100, Cornelius, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 316-5170.

Dr Mark Lowell Higdon is licensed to practice in North Carolina (license number 2014-01893) 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 1598857187.

Contact Information

Dr Mark Lowell Higdon, DO
19485 Old Jetton Rd Ste 100,
Cornelius, NC 28031-6583
(704) 316-5170
(704) 316-5172

Map and Direction




Physician's Profile

Full NameDr Mark Lowell Higdon
GenderMale
SpecialityFamily Practice
Experience29 Years
Location19485 Old Jetton Rd Ste 100, Cornelius, 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 Lowell Higdon attended and graduated from West Virginia School Of Osteopathic Medicine in 1996
  NPI Data:
  • NPI Number: 1598857187
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3678754231
  • Enrollment ID: I20151023001673

Medical Identifiers

Medical identifiers for Dr Mark Lowell Higdon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598857187NPI-NPPES
1598857187MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2014-01893 (North Carolina)Primary
207Q00000XFamily Medicine 044938 (Georgia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

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 Lowell Higdon allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679528384
PECOS PAC ID: 1153234893
Enrollment ID: O20060828000304

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 Lowell Higdon 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 Lowell Higdon, DO
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 316-5170		Dr Mark Lowell Higdon, DO
19485 Old Jetton Rd Ste 100,
Cornelius, NC 28031-6583

Ph: (704) 316-5170

Reviews and Comments


Family Medicine Doctors in Cornelius, NC

Dr. Amy Lowery Alexanian, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    Fax: 704-384-1776
Dr. Amanda E White, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 200, Cornelius, NC 28031
Phone: 704-316-5136    
Dr. Christopher A Zagar, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    Fax: 704-384-1776
Jackie Rex Faircloth, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20036 Zion Ave, Ste 100, Cornelius, NC 28031
Phone: 704-801-7400    
Dr. Puja Dalal,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031
Phone: 704-316-5170    Fax: 704-316-5172
Dr. Mark Vincent, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    
Dr. Alexandra Adare Colt, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19830 Zion Ave, Cornelius, NC 28031
Phone: 704-384-1782    

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.