Mark D Hughes, MD - Medicare Pediatrics in Pleasant View, TN

Mark D Hughes, MD is a medicare enrolled "Pediatrics" physician in Pleasant View, Tennessee. His current practice location is 6509 Highway 41a, Pleasant View, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 746-4040.

Mark D Hughes is licensed to practice in Tennessee (license number MD40692) 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 1740246446.

Contact Information

Mark D Hughes, MD
6509 Highway 41a,
Pleasant View, TN 37146-7170
(615) 746-4040
(615) 746-4044

Map and Direction




Physician's Profile

Full NameMark D Hughes
GenderMale
SpecialityPediatrics
Location6509 Highway 41a, Pleasant View, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740246446
  • Provider Enumeration Date: 04/22/2006
  • Last Update Date: 04/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456313295
  • Enrollment ID: I20100607000491

Medical Identifiers

Medical identifiers for Mark D Hughes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740246446NPI-NPPES
5444077MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD40692 (Tennessee)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 Hughes allows following entities to bill medicare on his behalf.
Entity NameGrace Pediatrics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467781690
PECOS PAC ID: 6305976002
Enrollment ID: O20100607000398

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 Hughes 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 AddressPractice Location Address
Mark D Hughes, MD
1335 Rock Springs Road,
Smyrna, TN 37167-6108

Ph: (615) 459-5252
Mark D Hughes, MD
6509 Highway 41a,
Pleasant View, TN 37146-7170

Ph: (615) 746-4040

Reviews and Comments


Pediatrics Doctors in Pleasant View, TN

Dr. Jorge Rojas, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2571 Henry Gower Rd, Pleasant View, TN 37146
Phone: 615-746-4308    Fax: 615-746-0928
Chandler Washburn, PNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 238 Centre St. Suite 100, Pleasant View, TN 37146
Phone: 615-746-4040    Fax: 615-746-4044
Jennifer B Seawell-wynn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6312 Highway 41a Ste 102, Pleasant View, TN 37146
Phone: 615-819-5431    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.