Mark C Antonishen, MD is a medicare enrolled "Internal Medicine" physician in Boyne City, Michigan. 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 |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 223 N Park St, Boyne City, Michigan |
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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. |
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Medical Education and Training:
- Mark C Antonishen attended and graduated from in
NPI Data:
- NPI Number: 1518971654
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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