Mark Cross, PA-C is a medicare enrolled "Physician Assistant - Medical" in Guadalupe, California. His current practice location is
4723 W Main St Ste H, Guadalupe, California. You can reach out to his office (for appointments etc.) via phone at
(805) 361-8017.
Mark Cross is licensed to practice in California (license number 19505) 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 1205964939.
Provider's Profile
Full Name | Mark Cross |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 4723 W Main St Ste H, Guadalupe, California |
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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: 1205964939
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365548690
- Enrollment ID: I20081114000107
Medical Identifiers
Medical identifiers for Mark Cross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205964939 | NPI | - | NPPES |
83821368 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 2322 (Colorado) | Secondary |
363AM0700X | Physician Assistant - Medical | 19505 (California) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 19505 (California) | Secondary |
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 Cross 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 Cross, PA-C 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8017 | Mark Cross, PA-C 4723 W Main St Ste H, Guadalupe, CA 93434-1787 Ph: (805) 361-8017 |
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