Kristina Rae Vander Mark, MD in Southfield, MI - Medicare Obstetrics/gynecology

Kristina Rae Vander Mark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Southfield, Michigan. She went to Wayne State University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ascension Providence Hospital and her current practice location is 22255 Greenfield Rd Ste 352, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 849-3401.

Kristina Rae Vander Mark is licensed to practice in Michigan (license number 4301076692) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366538860.

Contact Information

	Kristina Rae Vander Mark, MD
	22255 Greenfield Rd Ste 352, Southfield, MI 48075-3712
	(248) 849-3401
	(248) 849-4106

Map and Direction

Physician's Profile

Full Name	Kristina Rae Vander Mark
Gender	Female
Speciality	Obstetrics/gynecology
Experience	24 Years
Location	22255 Greenfield Rd Ste 352, Southfield, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristina Rae Vander Mark attended and graduated from Wayne State University School Of Medicine in 2000

NPI Data:

NPI Number: 1366538860
Provider Enumeration Date: 10/04/2006
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4789644279
Enrollment ID: I20041019000489

Medical Identifiers

Medical identifiers for Kristina Rae Vander Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366538860	NPI	-	NPPES
4789630	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VG0400X	Obstetrics & Gynecology - Gynecology	4301076692 (Michigan)	Secondary
207VX0000X	Obstetrics & Gynecology - Obstetrics	4301076692 (Michigan)	Secondary
207V00000X	Obstetrics & Gynecology	4301076692 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Providence Hospital	6103738703	178

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. Kristina Rae Vander Mark allows following entities to bill medicare on her behalf.

Entity Name	Ascension Providence Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326

Entity Name	Mercy Health Partners - Physician Specialist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922248772 PECOS PAC ID: 2163572991 Enrollment ID: O20090616000615

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. Kristina Rae Vander 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
Kristina Rae Vander Mark, MD 22255 Greenfield Rd Ste 352, Southfield, MI 48075-3712 Ph: (248) 849-3401	Kristina Rae Vander Mark, MD 22255 Greenfield Rd Ste 352, Southfield, MI 48075-3712 Ph: (248) 849-3401

Reviews and Comments

Obstetrics & Gynecology Doctors in Southfield, MI

Dr. Lameitre Camille Lockhart, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3014
Sherri Lynn Graf, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 29877 Telegraph Road, Suite 304, Southfield, MI 48034 Phone: 248-223-9202 Fax: 248-223-9302
Dr. David B Cotton, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 17515 W 9 Mile Rd, Suite 500, Southfield, MI 48075 Phone: 248-557-3700
Hannah Lee Bacheller, MD, MS Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 22255 Greenfield Rd Ste 352, Southfield, MI 48075 Phone: 248-849-4106 Fax: 248-849-4106
David Stone, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 27209 Lahser, #220, Southfield, MI 48034 Phone: 248-603-4240 Fax: 248-603-4249
Rachel Loken, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 22255 Greenfield Rd Ste 352, Southfield, MI 48075 Phone: 248-849-3401 Fax: 248-849-4106
Vinay Kumar Malviya, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 29877 Telegraph Rd Ste 304, Southfield, MI 48034 Phone: 248-277-5094 Fax: 248-513-4882

Kristina Rae Vander Mark, MD - Medicare Obstetrics/gynecology in Southfield, MI