Dr Ron Mark, MD | |
2103 Deer Park Ave, Deer Park, NY 11729-1319 | |
(631) 574-2060 | |
Not Available |
Full Name | Dr Ron Mark |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 28 Years |
Location | 2103 Deer Park Ave, Deer Park, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013917301 | NPI | - | NPPES |
02583631 | Medicaid | NY | |
P00221729 | Other | NY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | TM2010-0634 (New Mexico) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 214773 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
El Centro Regional Medical Center | El centro, CA | Hospital |
St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vesta Telemedicine Solutions Pc | 2365850948 | 29 |
Kan-di-ki Llc | 5991737140 | 23 |
Glen Cove Radiologic Imaging Llc | 6800282468 | 2 |
Mark Medical Care Pllc | 9234365982 | 10 |
Vesta Telemedicine Solutions Pllc | 9638585706 | 24 |
Reono Bertagnolli A Medical Group | 6800709783 | 42 |
Reono Bertagnolli A Medical Group | 6800709783 | 42 |
Vesta Telemedicine Solutions Pllc | 9638585706 | 24 |
Entity Name | Symphony Diagnostic Services No 1 Llc |
---|---|
Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20110208000573 |
Entity Name | Mark Medical Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962745398 PECOS PAC ID: 9234365982 Enrollment ID: O20131202001150 |
Entity Name | Kan-di-ki Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750364345 PECOS PAC ID: 5991737140 Enrollment ID: O20150114001629 |
Entity Name | Community Mobile Diagnostics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20160928000710 |
Entity Name | Reono Bertagnolli A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20180502002269 |
Entity Name | Vesta Telemedicine Solutions Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20210430000801 |
Entity Name | Glen Cove Radiologic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528715158 PECOS PAC ID: 6800282468 Enrollment ID: O20220407000150 |
Entity Name | Rfc Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437478302 PECOS PAC ID: 8022141894 Enrollment ID: O20221229000264 |
Entity Name | Vesta Telemedicine Solutions Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710571153 PECOS PAC ID: 2365850948 Enrollment ID: O20230517001373 |
Entity Name | Columbus Diagnostic Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316108624 PECOS PAC ID: 3375455884 Enrollment ID: O20231027002651 |
Mailing Address | Practice Location Address |
---|---|
Dr Ron Mark, MD 2103 Deer Park Ave, Deer Park, NY 11729-1319 Ph: (631) 574-2060 | Dr Ron Mark, MD 2103 Deer Park Ave, Deer Park, NY 11729-1319 Ph: (631) 574-2060 |