Lee M Marks, MD | |
308 Student Health Center, University Park, PA 16802-8655 | |
(814) 863-6747 | |
(814) 863-8464 |
Full Name | Lee M Marks |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 308 Student Health Center, University Park, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366523540 | NPI | - | NPPES |
006091636 541581185 | Medicaid | VA | |
03339291 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101054104 (Virginia) | Secondary |
207P00000X | Emergency Medicine | MD469191 (Pennsylvania) | Primary |
Entity Name | University Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
Mailing Address | Practice Location Address |
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Lee M Marks, MD 308 Student Health Center, University Park, PA 16802-8655 Ph: (814) 863-6747 | Lee M Marks, MD 308 Student Health Center, University Park, PA 16802-8655 Ph: (814) 863-6747 |
Mercedes Boggs, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 308 Student Health Ctr, University Park, PA 16802 Phone: 814-863-6747 | |
Joshua Wolfe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 308 Student Health Center, University Park, PA 16802 Phone: 814-863-6747 Fax: 814-863-8464 |