Dr Mark Douglas Frey, MD is a medicare enrolled "Otolaryngology" physician in Canton, New York. He went to University Of Nebraska College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
6119 Us Highway 11, Canton, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 261-5850.
Dr Mark Douglas Frey is licensed to practice in New York (license number 330710) 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 1336116797.
Physician's Profile
| Full Name | Dr Mark Douglas Frey |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 42 Years |
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| Location | 6119 Us Highway 11, Canton, New York |
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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:
- Dr Mark Douglas Frey attended and graduated from University Of Nebraska College Of Medicine in 1982
NPI Data:
- NPI Number: 1336116797
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052376449
- Enrollment ID: I20050621000611
Medical Identifiers
Medical identifiers for Dr Mark Douglas Frey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336116797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 21783 (Nebraska) | Secondary |
| 207Y00000X | Otolaryngology | 330710 (New York) | Primary |
Medical Facilities Affiliation
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. Dr Mark Douglas Frey allows following entities to bill medicare on his behalf.
| Entity Name | Clarinda Regional Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629196241
PECOS PAC ID: 4587573993
Enrollment ID: O20031205000207 |
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| Entity Name | Advanced Ent |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336221936
PECOS PAC ID: 8921063058
Enrollment ID: O20050520000750 |
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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. Dr Mark Douglas Frey 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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Dr Mark Douglas Frey, MD
50 Leroy St,
Potsdam, NY 13676-1786
Ph: (315) 265-3300 | Dr Mark Douglas Frey, MD
6119 Us Highway 11,
Canton, NY 13617-3991
Ph: (315) 261-5850 |
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