Marc Taylor Mitton, DO is a medicare enrolled "Dermatology" physician in Washington Terrace, Utah. He went to Rocky Vista University College Of Osteopathic Med and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Legacy Dermatology and his current practice location is
5748 Adams Ave Pkwy, Washington Terrace, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 827-9100.
Marc Taylor Mitton is licensed to practice in Pennsylvania (license number OT018578) 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 1568994143.
Physician's Profile
Full Name | Marc Taylor Mitton |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 7 Years |
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Location | 5748 Adams Ave Pkwy, Washington Terrace, Utah |
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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. |
Medical Education and Training:
- Marc Taylor Mitton attended and graduated from Rocky Vista University College Of Osteopathic Med in 2017
NPI Data:
- NPI Number: 1568994143
- Provider Enumeration Date: 04/01/2017
- Last Update Date: 08/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638443435
- Enrollment ID: I20210802002905
Medical Identifiers
Medical identifiers for Marc Taylor Mitton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568994143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | OT018578 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Legacy Dermatology | 5991022642 | 3 |
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. Marc Taylor Mitton allows following entities to bill medicare on his behalf.
Entity Name | Rocky Mountain Dermatology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154527372 PECOS PAC ID: 6002992906 Enrollment ID: O20080318000363 |
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Entity Name | Legacy Dermatology |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376944942 PECOS PAC ID: 5991022642 Enrollment ID: O20150318001018 |
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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. Marc Taylor Mitton 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 |
Marc Taylor Mitton, DO 3794 E 3600 N, Liberty, UT 84310-9506 Ph: (801) 458-0162 | Marc Taylor Mitton, DO 5748 Adams Ave Pkwy, Washington Terrace, UT 84405-6947 Ph: (801) 827-9100 |
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