Mark Kaplan, DO - Medicare Family Practice in Ellsworth, ME

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Mark Kaplan, DO is a medicare enrolled "Emergency Medicine" physician in Ellsworth, Maine. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice East Grand Health Center Inc and his current practice location is 58 Laurel St, Ellsworth, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 659-5546.

Mark Kaplan is licensed to practice in Maine (license number 907) 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 1861498461.

Contact Information

Mark Kaplan, DO
58 Laurel St,
Ellsworth, ME 04605-2305
(207) 659-5546
(207) 573-1609

Map and Direction




Physician's Profile

Full NameMark Kaplan
GenderMale
SpecialityFamily Practice
Experience52 Years
Location58 Laurel St, Ellsworth, Maine
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 Kaplan graduated from medical school in 1972
  NPI Data:
  • NPI Number: 1861498461
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 09/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173580503
  • Enrollment ID: I20041216000668

Medical Identifiers

Medical identifiers for Mark Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861498461NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 907 (Maine)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Grand Health Center Inc42846429506

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 Kaplan allows following entities to bill medicare on his behalf.
Entity NameSt Croix Regional Family Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831174614
PECOS PAC ID: 3577524024
Enrollment ID: O20041019000977
Entity NameEast Grand Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467489666
PECOS PAC ID: 4284642950
Enrollment ID: O20060323000065

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 Kaplan 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 Kaplan, DO
58 Laurel St,
Ellsworth, ME 04605-2305

Ph: (207) 659-5546		Mark Kaplan, DO
58 Laurel St,
Ellsworth, ME 04605-2305

Ph: (207) 659-5546

Reviews and Comments


Emergency Medicine Doctors in Ellsworth, ME

Emily Seltzer, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 50 Union St, Ellsworth, ME 04605
Phone: 207-664-5311    
Tess Wiskel,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Union St, Ellsworth, ME 04605
Phone: 207-664-5311    
Dr. Edwin Tower Layng, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Union St, Ellsworth, ME 04605
Phone: 207-664-5311    
Charles Markowitz, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605
Phone: 207-664-5340    Fax: 207-664-5338
Arthur Gregory Manning, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Union St, Ellsworth, ME 04605
Phone: 207-664-5311    

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.