Mark Edward Van Wormer, MD - Medicare General Practice in Clayton, NM

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Mark Edward Van Wormer, MD is a medicare enrolled "General Practice" physician in Clayton, New Mexico. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Clayton Health Systems Inc and his current practice location is 314 N 3rd Ave, Clayton, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 374-8313.

Mark Edward Van Wormer is licensed to practice in New Mexico (license number 81333) 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 1013919034.

Contact Information

Mark Edward Van Wormer, MD
314 N 3rd Ave,
Clayton, NM 88415-3302
(575) 374-8313
(575) 374-2064

Map and Direction




Physician's Profile

Full NameMark Edward Van Wormer
GenderMale
SpecialityGeneral Practice
Experience44 Years
Location314 N 3rd Ave, Clayton, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Edward Van Wormer graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1013919034
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 07/15/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4183785041
  • Enrollment ID: I20081210000476

Medical Identifiers

Medical identifiers for Mark Edward Van Wormer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013919034NPI-NPPES
060000475OtherRAILROAD MEDICARE
05645MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 81333 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Union County General HospitalClayton, NMHospital
Baptist St Anthony's HospitalAmarillo, TXHospital
Clayton Nursing And RehabClayton, NMNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clayton Health Systems Inc09411958953

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 Edward Van Wormer allows following entities to bill medicare on his behalf.
Entity NameClayton Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285715243
PECOS PAC ID: 0941195895
Enrollment ID: O20040219000112
Entity NameClayton Health Systems Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1427051002
PECOS PAC ID: 0941195895
Enrollment ID: O20090512000239
Entity NameClayton Health Systems Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1427051002
PECOS PAC ID: 0941195895
Enrollment ID: O20090512000302

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 Edward Van Wormer 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 Edward Van Wormer, MD
314 N 3rd Ave,
Clayton, NM 88415-3302

Ph: (575) 374-8313		Mark Edward Van Wormer, MD
314 N 3rd Ave,
Clayton, NM 88415-3302

Ph: (575) 374-8313

Reviews and Comments


General Practice Doctors in Clayton, NM


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.