Tiffany Elizabeth Mark, is a medicare enrolled "Pediatrics" physician in Middle River, Maryland. Her current practice location is
6201 Greenleigh Ave, Middle River, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 933-4380.
Tiffany Elizabeth Mark is licensed to practice in Maryland (license number D94103) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881190783.
Physician's Profile
Full Name | Tiffany Elizabeth Mark |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 6201 Greenleigh Ave, Middle River, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881190783
- Provider Enumeration Date: 04/01/2018
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820346174
- Enrollment ID: I20220815000401
Medical Identifiers
Medical identifiers for Tiffany Elizabeth Mark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881190783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D94103 (Maryland) | 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. Tiffany Elizabeth Mark allows following entities to bill medicare on her behalf.
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
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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. Tiffany Elizabeth Mark 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 |
Tiffany Elizabeth Mark, 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-4380 | Tiffany Elizabeth Mark, 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-4380 |
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