Mark Booth, PA is a
Physician Assistant based in Aurora, New York. Mark Booth is licensed to practice in New York (license number 019393) and his current practice location is
18 Wells Rd, Aurora, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 364-3388.
NPI number for Mark Booth is 1699130427 and his current mailing address is 1101 Erie Blvd E, Suite 204, Syracuse, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699130427.
Provider's Profile
| Full Name | Mark Booth |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 18 Wells Rd, Aurora, 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: 1699130427
- Provider Enumeration Date: 12/21/2015
- Last Update Date: 09/12/2016
Medical Identifiers
Medical identifiers for Mark Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699130427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 019393 (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 Booth 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 Booth, PA
1101 Erie Blvd E, Suite 204,
Syracuse, NY 13210-1148
Ph: (315) 474-0240 | Mark Booth, PA
18 Wells Rd,
Aurora, NY 13026-8724
Ph: (315) 364-3388 |
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