Mr Mark C Donnelly, DO in Valrico, FL - Medicare Family Medicine

Mr Mark C Donnelly, DO is a medicare enrolled "Family Medicine" physician in Valrico, Florida. His current practice location is 2211 Lithia Center Ln, Valrico, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 660-7100.

Mr Mark C Donnelly is licensed to practice in Florida (license number OS19518) 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 1013394576.

Contact Information

	Mr Mark C Donnelly, DO
	2211 Lithia Center Ln, Valrico, FL 33596-5676
	(813) 660-7100
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Mark C Donnelly
Gender	Male
Speciality	Family Medicine
Location	2211 Lithia Center Ln, Valrico, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013394576
Provider Enumeration Date: 05/04/2015
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9537467311
Enrollment ID: I20230512002543

Medical Identifiers

Medical identifiers for Mr Mark C Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013394576	NPI	-	NPPES
1013394576	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO2397 (Nevada)	Secondary
207Q00000X	Family Medicine	OS19518 (Florida)	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. Mr Mark C Donnelly allows following entities to bill medicare on his behalf.

Entity Name	Tampa General Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525

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. Mr Mark C Donnelly 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
Mr Mark C Donnelly, DO Po Box 1289, Tampa, FL 33601-1289 Ph: (813) 660-7100	Mr Mark C Donnelly, DO 2211 Lithia Center Ln, Valrico, FL 33596-5676 Ph: (813) 660-7100

Reviews and Comments

Family Medicine Doctors in Valrico, FL

John A Rog, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2237 Lithia Center Ln, Valrico, FL 33596 Phone: 813-662-0123 Fax: 813-662-9422
Dr. Dyan Jenelle Harvey-dent, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4325 Lynx Paw Trl, Valrico, FL 33594 Phone: 813-684-9600 Fax: 813-662-9777
Michelle L Judah, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2237 Lithia Center Ln, Valrico, FL 33596 Phone: 813-662-0123
Unnati Patel, Family Medicine Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-655-8096
Shawn Michael Wallace, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Lithia Center Ln, Valrico, FL 33596 Phone: 813-660-7100 Fax: 813-660-6625
Aishwarya Potdar Daniels, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-655-8096 Fax: 813-684-1610

Mr Mark C Donnelly, DO - Medicare Family Medicine in Valrico, FL