Mark Booth, PA is a medicare enrolled "Physician Assistant" in Aurora, New York. His current practice location is
18 Wells Rd, Aurora, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 364-3388.
Mark Booth is licensed to practice in New York (license number 019393) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699130427
- Provider Enumeration Date: 12/21/2015
- Last Update Date: 09/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 7911292735
- Enrollment ID: I20160818000531
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
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 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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