Dr Mark R Lanka, OD is a medicare enrolled "Optometrist" provider in Broken Bow, Oklahoma. He went to International American University At Puerto Rico - School Of Optometry and graduated in 2012 and has 13 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Med Southwest Pllc, Med Southwest Pllc and his current practice location is
511 S Park Dr Ste A, Broken Bow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 584-3434.
Dr Mark R Lanka is licensed to practice in Arkansas (license number 2714) 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 1679817506.
Healthcare Provider's Profile
| Full Name | Dr Mark R Lanka |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 13 Years |
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| Location | 511 S Park Dr Ste A, Broken Bow, Oklahoma |
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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 R Lanka attended and graduated from International American University At Puerto Rico - School Of Optometry in 2012
NPI Data:
- NPI Number: 1679817506
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 02/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931337995
- Enrollment ID: I20160506001913
Medical Identifiers
Medical identifiers for Dr Mark R Lanka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679817506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1385 (Nebraska) | Secondary |
| 152W00000X | Optometrist | 2857 (Oklahoma) | Secondary |
| 152W00000X | Optometrist | 8623 (Texas) | Secondary |
| 152W00000X | Optometrist | 2714 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Med Southwest Pllc | 4082952874 | 177 |
| Med Southwest Pllc | 4082952874 | 177 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark R Lanka allows following entities to bill medicare on his behalf.
| Provider Name | Med Southwest Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497211783
PECOS PAC ID: 4082952874
Enrollment ID: O20190403000952 |
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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 R Lanka 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 R Lanka, OD
1950 Old Gallows Rd Ste 520,
Vienna, VA 22182-3970
Ph: () - | Dr Mark R Lanka, OD
511 S Park Dr Ste A,
Broken Bow, OK 74728-5329
Ph: (580) 584-3434 |
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