Mark D Deboer, MD in Charlottesville, VA

Mark D Deboer, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Charlottesville, Virginia. His current practice location is 1204 W Main St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 924-0123.

Mark D Deboer is licensed to practice in Virginia (license number 0101232515) 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 1730100868.

Contact Information

	Mark D Deboer, MD
	1204 W Main St, Charlottesville, VA 22903-2824
	(434) 924-0123
	(434) 243-3300

Map and Direction

Physician's Profile

Full Name	Mark D Deboer
Gender	Male
Speciality	Pediatrics - Pediatric Endocrinology
Location	1204 W Main St, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730100868
Provider Enumeration Date: 07/22/2006
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5294835120
Enrollment ID: I20070706000571

Medical Identifiers

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

Identifier	Type	State	Issuer
1730100868	NPI	-	NPPES
1730100868	Medicaid	VA
232445	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0205X	Pediatrics - Pediatric Endocrinology	0101232515 (Virginia)	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 D Deboer allows following entities to bill medicare on his behalf.

Entity Name	University Of Virginia Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780

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 D Deboer 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 D Deboer, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () -	Mark D Deboer, MD 1204 W Main St, Charlottesville, VA 22903-2824 Ph: (434) 924-0123

Reviews and Comments

Pediatrics Doctors in Charlottesville, VA

Mr. Michael Douglas Dickens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-296-1036
Linda A. Waggoner Fountain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-0123 Fax: 434-243-3300
Marion Elizabeth Szwedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-977-6068
Dr. Gregory Rees Sturz, DO, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Box 800501, Charlottesville, VA 22908 Phone: 494-942-5321 Fax: 434-982-3816
Anne C Butz, LCSW Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-5321 Fax: 434-244-4412
Jessica C Di Zio, PNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-1761 Fax: 434-982-3561
Brooke D. Vergales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2335 Fax: 434-982-0796

Mark D Deboer, MD - Medicare Pediatrics in Charlottesville, VA