Mark David Menich, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Boulder, Colorado. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1987 and has 37 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Boulder Valley Asthma And Allergy Clinics Pc, Boulder Valley Asthma And Allergy Clinics Pc and his current practice location is
3950 Broadway St, Boulder Valley Asthma And Allergy Clinics, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 444-5995.
Mark David Menich is licensed to practice in Colorado (license number 46383) 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 1417983438.
Physician's Profile
| Full Name | Mark David Menich |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 37 Years |
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| Location | 3950 Broadway St, Boulder, Colorado |
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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 David Menich attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1987
NPI Data:
- NPI Number: 1417983438
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 12/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 2567516958
- Enrollment ID: I20090819000784
Medical Identifiers
Medical identifiers for Mark David Menich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417983438 | NPI | - | NPPES |
| 14209764 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207KA0200X | Allergy & Immunology - Allergy | 46383 (Colorado) | Primary |
| 207R00000X | Internal Medicine | 46383 (Colorado) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | MD044657E (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Boulder Valley Asthma And Allergy Clinics Pc | 4284659632 | 6 |
| Boulder Valley Asthma And Allergy Clinics Pc | 4284659632 | 6 |
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 David Menich allows following entities to bill medicare on his behalf.
| Entity Name | Boulder Valley Asthma & Allergy Clinics Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952522997
PECOS PAC ID: 4284659632
Enrollment ID: O20051013001064 |
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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 David Menich 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 |
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Mark David Menich, MD
3950 Broadway St, Boulder Valley Asthma And Allergy Clinics,
Boulder, CO 80304-1104
Ph: (303) 444-5995 | Mark David Menich, MD
3950 Broadway St, Boulder Valley Asthma And Allergy Clinics,
Boulder, CO 80304-1104
Ph: (303) 444-5995 |
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