Dr Paul Mark, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Grand Rapids, Michigan. He went to Indiana University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Spectrum Health Hospitals and his current practice location is
25 Michigan St Ne, Suite 2000, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 391-2192.
Dr Paul Mark is licensed to practice in Michigan (license number 4301057958) 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 1831137629.
Physician's Profile
| Full Name | Dr Paul Mark |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 33 Years |
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| Location | 25 Michigan St Ne, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Paul Mark attended and graduated from Indiana University School Of Medicine in 1991
NPI Data:
- NPI Number: 1831137629
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 02/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931205762
- Enrollment ID: I20101111001066
Medical Identifiers
Medical identifiers for Dr Paul Mark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831137629 | NPI | - | NPPES |
| 1831137629 | Medicaid | MI | |
| 200056530A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 01040767A (Indiana) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 4301057958 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Spectrum Health Hospitals | 8921904764 | 129 |
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 Paul Mark allows following entities to bill medicare on his behalf.
| Entity Name | Spectrum Health Primary Care Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091 |
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| Entity Name | Spectrum Health Hospitals |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558407189
PECOS PAC ID: 8921904764
Enrollment ID: O20040120000997 |
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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 Paul Mark 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 Address | Practice Location Address |
|---|
Dr Paul Mark, MD
100 Michigan St Ne, Mc 845,
Grand Rapids, MI 49503-2560
Ph: () - | Dr Paul Mark, MD
25 Michigan St Ne, Suite 2000,
Grand Rapids, MI 49503-2515
Ph: (616) 391-2192 |
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