Mark Antyn Griffith, is a medicare enrolled "Pain Medicine - Pain Medicine" in Rockville, Maryland. His current practice location is
6000 Executive Blvd, Ste 602, Rockville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 770-6301.
Mark Antyn Griffith is licensed to practice in Maryland (license number R200261) 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 1275221285.
Provider's Profile
Full Name | Mark Antyn Griffith |
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Gender | Male |
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Speciality | Pain Medicine - Pain Medicine |
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Location | 6000 Executive Blvd, Rockville, 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: 1275221285
- Provider Enumeration Date: 04/27/2023
- Last Update Date: 06/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214477496
- Enrollment ID: I20240914000109
Medical Identifiers
Medical identifiers for Mark Antyn Griffith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275221285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R200261 (Maryland) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | R200261 (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. Mark Antyn Griffith allows following entities to bill medicare on his behalf.
Entity Name | Exceptional Primary And Preventive Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336700251 PECOS PAC ID: 7719213610 Enrollment ID: O20190731000380 |
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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. Mark Antyn Griffith 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 Antyn Griffith, 6000 Executive Blvd Ste 602, Rockville, MD 20852-3820 Ph: (301) 770-6301 | Mark Antyn Griffith, 6000 Executive Blvd, Ste 602, Rockville, MD 20852-3820 Ph: (301) 770-6301 |
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