Eddie Kevin Mark, APRN in Worcester, MA - Medicare Nurse Practitioner

Eddie Kevin Mark, APRN is a medicare enrolled "Nurse Practitioner" in Worcester, Massachusetts. His current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (774) 442-2853.

Eddie Kevin Mark is licensed to practice in Massachusetts (license number RN2297770) 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 1922417807.

Contact Information

	Eddie Kevin Mark, APRN
	55 Lake Ave N, Worcester, MA 01655-0002
	(774) 442-2853
	(774) 443-7042

Map and Direction

Provider's Profile

Full Name	Eddie Kevin Mark
Gender	Male
Speciality	Nurse Practitioner
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922417807
Provider Enumeration Date: 08/05/2014
Last Update Date: 02/11/2015

Medicare PECOS Information:

PECOS PAC ID: 3971821414
Enrollment ID: I20161121001481

Medical Identifiers

Medical identifiers for Eddie Kevin Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922417807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	5790 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	RN2297770 (Massachusetts)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	RN2297770 (Massachusetts)	Secondary

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. Eddie Kevin Mark allows following entities to bill medicare on his behalf.

Entity Name	The Association Of Chrmc And University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585

Entity Name	Seattle Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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. Eddie Kevin 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
Eddie Kevin Mark, APRN Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Eddie Kevin Mark, APRN 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 442-2853

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Eddie Kevin Mark, APRN - Medicare Nurse Practitioner in Worcester, MA