Dr Mark Donald Kishbaugh, PA-C is a medicare enrolled "Physician Assistant" in Boulder, Montana. 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 |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 214 S Main St, Boulder, Montana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark Donald Kishbaugh attended and graduated from in
NPI Data:
- NPI Number: 1467410803
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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