Dr Mark Donald Kishbaugh, PA-C is a medicare enrolled "Physician Assistant" in Boulder, Montana. He graduated from nursing school in 1996 and has 29 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
214 S Main St, Boulder, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 225-4201.
Dr Mark Donald Kishbaugh is licensed to practice in Montana (license number 43812) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467410803.
Provider's Profile
| Full Name | Dr Mark Donald Kishbaugh |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 29 Years |
|---|
| Location | 214 S Main St, Boulder, Montana |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Mark Donald Kishbaugh graduated from nursing school in 1996
NPI Data:
- NPI Number: 1467410803
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325036007
- Enrollment ID: I20151223000781
Medical Identifiers
Medical identifiers for Dr Mark Donald Kishbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467410803 | NPI | - | NPPES |
| 68421532 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 1960 (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2500 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 43812 (Montana) | Primary |
Medical Facilities Affiliation
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. Dr Mark Donald Kishbaugh 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 |
|---|
Dr Mark Donald Kishbaugh, PA-C
Po Box 44,
Boulder, MT 59632-0044
Ph: (406) 224-2244 | Dr Mark Donald Kishbaugh, PA-C
214 S Main St,
Boulder, MT 59632-7640
Ph: (406) 225-4201 |
Reviews and Comments