Mark Archie, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Rolling Hills Estates, California. His current practice location is
6 Via Majorca, Rolling Hills Estates, California. You can reach out to his office (for appointments etc.) via phone at
(310) 753-7906.
Mark Archie is licensed to practice in California (license number A137479) 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 1033553383.
Physician's Profile
Full Name | Mark Archie |
---|
Gender | Male |
---|
Speciality | Surgery - Vascular Surgery |
---|
Location | 6 Via Majorca, Rolling Hills Estates, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033553383
- Provider Enumeration Date: 04/17/2013
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264789981
- Enrollment ID: I20180725003199
Medical Identifiers
Medical identifiers for Mark Archie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033553383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | A137479 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Archie allows following entities to bill medicare on his behalf.
Entity Name | Prohealth Partners, A Medical Group |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
---|
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 Archie 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 |
Mark Archie, MD Po Box 411185, Boston, MA 02241-1185 Ph: (610) 644-8900 | Mark Archie, MD 6 Via Majorca, Rolling Hills Estates, CA 90274-3424 Ph: (310) 753-7906 |
Reviews and Comments