Mark B Mead, is a
Physician Assistant based in Groton, New York. Mark B Mead is licensed to practice in New York (license number 007106-1) and his current practice location is
100 Sykes St, Groton, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 898-5827.
NPI number for Mark B Mead is 1407948029 and his current mailing address is 10813 State Route 90, Locke, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407948029.
Provider's Profile
| Full Name | Mark B Mead |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 100 Sykes St, Groton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407948029
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark B Mead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407948029 | NPI | - | NPPES |
| 02055512 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 007106-1 (New York) | Primary |
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 B Mead is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark B Mead,
10813 State Route 90,
Locke, NY 13092-3285
Ph: (607) 898-5827 | Mark B Mead,
100 Sykes St,
Groton, NY 13073-1231
Ph: (607) 898-5827 |
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