Mark Kimborowicz, MD is a medicare enrolled "General Practice" physician in Mentor, Ohio. His current practice location is
7350 Industrial Park Blvd, Mentor, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 732-9480.
Mark Kimborowicz is licensed to practice in Ohio (license number 35.047626) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083655641.
Physician's Profile
Full Name | Mark Kimborowicz |
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Gender | Male |
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Speciality | General Practice |
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Location | 7350 Industrial Park Blvd, Mentor, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083655641
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3577514967
- Enrollment ID: I20050202000929
Medical Identifiers
Medical identifiers for Mark Kimborowicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083655641 | NPI | - | NPPES |
930000109 | Other | OH | MEDICARE RR-GA |
0493201 | Medicaid | OH | |
942460636194 | Other | OH | CARESOURCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35047626K (Ohio) | Secondary |
208D00000X | General Practice | 35.047626 (Ohio) | Primary |
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 Kimborowicz allows following entities to bill medicare on his behalf.
Entity Name | Vpa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932386059 PECOS PAC ID: 9234041948 Enrollment ID: O20031119000596 |
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Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
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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. Mark Kimborowicz 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 Kimborowicz, MD 7350 Industrial Park Blvd, Mentor, OH 44060-5318 Ph: (216) 732-9480 | Mark Kimborowicz, MD 7350 Industrial Park Blvd, Mentor, OH 44060-5318 Ph: (216) 732-9480 |
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