Mark D Skyiepal, MD in Dallas, TX - Medicare General Practice

Mark D Skyiepal, MD is a medicare enrolled "General Practice" physician in Dallas, Texas. His current practice location is 14860 Montfort Dr Ste 115, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 431-5656.

Mark D Skyiepal is licensed to practice in Texas (license number J1570) 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 1124040266.

Contact Information

	Mark D Skyiepal, MD
	14860 Montfort Dr Ste 115, Dallas, TX 75254-6873
	(469) 431-5656
	(877) 658-8663

Map and Direction

Physician's Profile

Full Name	Mark D Skyiepal
Gender	Male
Speciality	General Practice
Location	14860 Montfort Dr Ste 115, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124040266
Provider Enumeration Date: 07/25/2006
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0648241083
Enrollment ID: I20040802000332

Medical Identifiers

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

Identifier	Type	State	Issuer
1124040266	NPI	-	NPPES
046230104	Medicaid	TX
046230106	Medicaid	TX
100217995	Medicaid	WI
046230105	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	J1570 (Texas)	Secondary
208600000X	Surgery	2334 (Wisconsin)	Secondary
208D00000X	General Practice	J1570 (Texas)	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 Skyiepal allows following entities to bill medicare on his behalf.

Entity Name	Robert Marriott Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20090518000379

Entity Name	Advanced Surgeons & Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508030917 PECOS PAC ID: 8426304221 Enrollment ID: O20180710001216

Entity Name	Amore Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881179463 PECOS PAC ID: 5991041899 Enrollment ID: O20190115000538

Entity Name	Trend Physicians Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750934089 PECOS PAC ID: 9133553498 Enrollment ID: O20191220000140

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 Skyiepal 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 Skyiepal, MD 791 N Highway 77, Ste 501-c #239, Waxahachie, TX 75165-1977 Ph: (888) 558-5756	Mark D Skyiepal, MD 14860 Montfort Dr Ste 115, Dallas, TX 75254-6873 Ph: (469) 431-5656

Reviews and Comments

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Mark D Skyiepal, MD - Medicare General Practice in Dallas, TX