Mark C Antonishen, MD is a medicare enrolled "Internal Medicine" physician in Boyne City, Michigan. He went to Wayne State University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Munson Healthcare Charlevoix Hospital and his current practice location is
223 N Park St, Boyne City, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 582-8010.
Mark C Antonishen is licensed to practice in Michigan (license number 4301046169) 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 1518971654.
Physician's Profile
| Full Name | Mark C Antonishen |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 43 Years |
|---|
| Location | 223 N Park St, Boyne City, Michigan |
|---|
| 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:
- Mark C Antonishen attended and graduated from Wayne State University School Of Medicine in 1981
NPI Data:
- NPI Number: 1518971654
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315916590
- Enrollment ID: I20050602000214
Medical Identifiers
Medical identifiers for Mark C Antonishen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518971654 | NPI | - | NPPES |
| MA046169 | Other | MI | BS STATE LIC# |
| 104102303 | Medicaid | MI | |
| 1102408031 | Other | MI | BCBSM PIN |
| 23D0963677 | Other | MI | CLIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4301046169 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Munson Healthcare Charlevoix Hospital | 4284528035 | 35 |
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 C Antonishen allows following entities to bill medicare on his behalf.
| Entity Name | Munson Healthcare Charlevoix Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790867216
PECOS PAC ID: 4284528035
Enrollment ID: O20070109000030 |
|---|
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 C Antonishen 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 C Antonishen, MD
10850 E Traverse Hwy, Suite 4400,
Traverse City, MI 49684-1364
Ph: (231) 346-6800 | Mark C Antonishen, MD
223 N Park St,
Boyne City, MI 49712-1220
Ph: (231) 582-8010 |
Reviews and Comments