Mark A Thoma, MD - Medicare Pediatrics in Delaware, OH

Mark A Thoma, MD is a medicare enrolled "Pediatrics" physician in Delaware, Ohio. His current practice location is 551 W Central Ave, Suite 303, Delaware, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 615-0300.

Mark A Thoma is licensed to practice in Ohio (license number 35.091505) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821259987.

Contact Information

Mark A Thoma, MD
551 W Central Ave, Suite 303,
Delaware, OH 43015-1493
(740) 615-0300
(740) 615-0301

Map and Direction




Physician's Profile

Full NameMark A Thoma
GenderMale
SpecialityPediatrics
Location551 W Central Ave, Delaware, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821259987
  • Provider Enumeration Date: 06/21/2008
  • Last Update Date: 01/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820142177
  • Enrollment ID: I20130402000079

Medical Identifiers

Medical identifiers for Mark A Thoma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821259987NPI-NPPES
2962049MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35.091505 (Ohio)Primary

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. Mark A Thoma allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532

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. Mark A Thoma 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 AddressPractice Location Address
Mark A Thoma, MD
L-3401,
Columbus, OH 43260-3401

Ph: (740) 615-1324
Mark A Thoma, MD
551 W Central Ave, Suite 303,
Delaware, OH 43015-1493

Ph: (740) 615-0300

Reviews and Comments


Pediatrics Doctors in Delaware, OH

Emily Sentman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7853 Pacer Dr, Delaware, OH 43015
Phone: 614-355-7900    
David Robert Stukus, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7853 Pacer Dr, Delaware, OH 43015
Phone: 614-722-6200    
Elizabeth Anne Claxton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7853 Pacer Dr, Delaware, OH 43015
Phone: 614-355-7900    
Gregory B Stewart, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7853 Pacer Dr, Delaware, OH 43015
Phone: 614-355-7900    
Blake Randolph, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7420 Gooding Blvd, Delaware, OH 43015
Phone: 740-657-8000    
Dr. Natalie Ann Dick, D.O.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 801 Ohiohealth Blvd, Ste 200, Delaware, OH 43015
Phone: 740-615-0270    Fax: 740-615-0279
Stacee Marie Lewis, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7853 Pacer Dr Ste 3a, Delaware, OH 43015
Phone: 614-764-9955    Fax: 614-792-5086

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.