Mark Lee Jayawant, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Georgetown, Texas. His current practice location is
1900 Scenic Dr, Georgetown, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 715-4227.
Mark Lee Jayawant is licensed to practice in Texas (license number M7303) 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 1033221486.
Physician's Profile
| Full Name | Mark Lee Jayawant |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1900 Scenic Dr, Georgetown, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033221486
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 03/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 6204832082
- Enrollment ID: I20061018000689
Medical Identifiers
Medical identifiers for Mark Lee Jayawant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033221486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | M7303 (Texas) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 13204 (North Dakota) | Secondary |
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 Lee Jayawant allows following entities to bill medicare on his behalf.
| Entity Name | Wiregrass Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558657890
PECOS PAC ID: 2860662491
Enrollment ID: O20110908002136 |
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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 Lee Jayawant 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 Lee Jayawant, MD
1900 Scenic Dr.,
Georgetown, TX 78626
Ph: (512) 715-4227 | Mark Lee Jayawant, MD
1900 Scenic Dr,
Georgetown, TX 78626-7724
Ph: (512) 715-4227 |
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