Mark Boctor, MD in Grosse Pointe Shores, MI

Mark Boctor, MD is a medicare enrolled "Anesthesiology" physician in Grosse Pointe Shores, Michigan. He went to Wayne State University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc and his current practice location is 599 Lake Shore Rd, Grosse Pointe Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 494-0312.

Mark Boctor is licensed to practice in Michigan (license number 4301505266) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1972038867.

Contact Information

	Mark Boctor, MD
	599 Lake Shore Rd, Grosse Pointe Shores, MI 48236-2632
	(248) 494-0312
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Boctor
Gender	Male
Speciality	Anesthesiology
Experience	8 Years
Location	599 Lake Shore Rd, Grosse Pointe Shores, Michigan
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Boctor attended and graduated from Wayne State University School Of Medicine in 2016

NPI Data:

NPI Number: 1972038867
Provider Enumeration Date: 04/27/2017
Last Update Date: 01/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2163827163
Enrollment ID: I20210827002526

Medical Identifiers

Medical identifiers for Mark Boctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972038867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	4301505266 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Michigan Iii Pllc	7911325469	510

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 Boctor allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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 Boctor 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 Boctor, MD 599 Lake Shore Rd, Grosse Pointe Shores, MI 48236-2632 Ph: () -	Mark Boctor, MD 599 Lake Shore Rd, Grosse Pointe Shores, MI 48236-2632 Ph: (248) 494-0312

Mark Boctor, MD - Medicare Anesthesiology in Grosse Pointe Shores, MI