Mark Steven Hamra, MD is a medicare enrolled "Allergy & Immunology" physician in Broken Arrow, Oklahoma. His current practice location is
817 S Elm Pl, Ste 107, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 259-3141.
Mark Steven Hamra is licensed to practice in Oklahoma (license number 17578) 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 1164428215.
Physician's Profile
| Full Name | Mark Steven Hamra |
|---|
| Gender | Male |
|---|
| Speciality | Allergy & Immunology |
|---|
| Location | 817 S Elm Pl, Broken Arrow, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1164428215
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 12/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062881758
- Enrollment ID: I20221220002220
Medical Identifiers
Medical identifiers for Mark Steven Hamra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164428215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 17578 (Oklahoma) | 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 Steven Hamra allows following entities to bill medicare on his behalf.
| Entity Name | Diversity Health And Wellness |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790418283
PECOS PAC ID: 6709255714
Enrollment ID: O20221214002514 |
|---|
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 Steven Hamra 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 Steven Hamra, MD
9913 S 87th East Ave,
Tulsa, OK 74133-5593
Ph: (918) 250-0087 | Mark Steven Hamra, MD
817 S Elm Pl, Ste 107,
Broken Arrow, OK 74012-5369
Ph: (918) 259-3141 |
Reviews and Comments