Mark Randall Ensminger, MD is a
Family Medicine physician based in Glenns Ferry, Idaho. Mark Randall Ensminger is licensed to practice in Idaho (license number M-12457) and his current practice location is 486 W First Ave, Glenns Ferry, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 366-7416.
NPI number for Mark Randall Ensminger is 1871607523 and his current mailing address is Po Box 266, Glenns Ferry, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871607523.
Physician's Profile
| Full Name | Mark Randall Ensminger |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 486 W First Ave, Glenns Ferry, Idaho |
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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: 1871607523
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 04/21/2015
Medical Identifiers
Medical identifiers for Mark Randall Ensminger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871607523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD00023657 (Washington) | Secondary |
| 207Q00000X | Family Medicine | M-12457 (Idaho) | 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 Randall Ensminger 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 Randall Ensminger, MD
Po Box 266,
Glenns Ferry, ID 83623-0266
Ph: (208) 366-7416 | Mark Randall Ensminger, MD
486 W First Ave,
Glenns Ferry, ID 83623-0266
Ph: (208) 366-7416 |
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