Mark W Bookout, MD is a medicare enrolled "Otolaryngology" physician in East Ridge, Tennessee. His current practice location is
4151 Ringgold Rd, East Ridge, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 622-5165.
Mark W Bookout is licensed to practice in Tennessee (license number 011511) 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 1356339063.
Physician's Profile
| Full Name | Mark W Bookout |
|---|
| Gender | Male |
|---|
| Speciality | |
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| Experience | Years |
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| Location | 4151 Ringgold Rd, East Ridge, Tennessee |
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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 W Bookout attended and graduated from in
NPI Data:
- NPI Number: 1356339063
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 12/10/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark W Bookout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356339063 | NPI | - | NPPES |
| 000282125B | Medicaid | GA | |
| 3021453 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 011511 (Tennessee) | Primary |
| 207Y00000X | Otolaryngology | 025947 (Georgia) | Secondary |
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 W Bookout 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 W Bookout, MD
6918 Shallowford Rd, Suite 206,
Chattanooga, TN 37421-6784
Ph: (423) 855-2552 | Mark W Bookout, MD
4151 Ringgold Rd,
East Ridge, TN 37412-2434
Ph: (423) 622-5165 |
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