Mark Ettore, MD in Philadelphia, PA - Medicare Anesthesiology

Mark Ettore, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 3401 Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 590-4557.

Mark Ettore is licensed to practice in Pennsylvania (license number MT210596) 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 1902250244.

Contact Information

	Mark Ettore, MD
	3401 Civic Center Blvd, Philadelphia, PA 19104-4319
	(215) 590-4557
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Ettore
Gender	Male
Speciality	Anesthesiology
Experience	8 Years
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. 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 Ettore graduated from medical school in 2016

NPI Data:

NPI Number: 1902250244
Provider Enumeration Date: 04/22/2016
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 3173813409
Enrollment ID: I20240327004017

Medical Identifiers

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

Identifier	Type	State	Issuer
1902250244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP3000X	Anesthesiology - Pediatric Anesthesiology	MT210596 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Ettore allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Ettore 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 Ettore, MD 3870 Manor St, Philadelphia, PA 19128-5206 Ph: () -	Mark Ettore, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-4557

Reviews and Comments

Anesthesiology Doctors in Philadelphia, PA

Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085
Aaron William Montani, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664

Mark Ettore, MD - Medicare Anesthesiology in Philadelphia, PA