Mark S Potenza, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Camillus, New York. His current practice location is
5700 W Genesee St, Ste 132, Camillus, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 487-5858.
Mark S Potenza is licensed to practice in New York (license number 167600) 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 1134122096.
Physician's Profile
| Full Name | Mark S Potenza |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 5700 W Genesee St, Camillus, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark S Potenza attended and graduated from in
NPI Data:
- NPI Number: 1134122096
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 12/20/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark S Potenza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134122096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 167600 (New York) | 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 S Potenza 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 |
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Mark S Potenza, MD
Po Box 2003,
East Syracuse, NY 13057-4503
Ph: (315) 449-3904 | Mark S Potenza, MD
5700 W Genesee St, Ste 132,
Camillus, NY 13031-3212
Ph: (315) 487-5858 |
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