Mark Ernst Giesecke, MD is a
Psychiatry & Neurology - Psychiatry physician based in Page, Arizona. Mark Ernst Giesecke is licensed to practice in Arizona (license number 19591) and his current practice location is 463 South Lake Powell Blvd, Page, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 645-5113.
NPI number for Mark Ernst Giesecke is 1407847601 and his current mailing address is 420 W Havasupai Rd, Flagstaff, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407847601.
Physician's Profile
| Full Name | Mark Ernst Giesecke |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 463 South Lake Powell Blvd, Page, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407847601
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark Ernst Giesecke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407847601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19591 (Arizona) | Primary |
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 Ernst Giesecke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Ernst Giesecke, MD
420 W Havasupai Rd,
Flagstaff, AZ 86001-1510
Ph: (928) 779-5419 | Mark Ernst Giesecke, MD
463 South Lake Powell Blvd,
Page, AZ 86040-0790
Ph: (928) 645-5113 |
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