Mark Elliot Andre, OD is a
Optometrist based in Crosby, North Dakota. Mark Elliot Andre is licensed to practice in North Dakota (license number 374) and his current practice location is
221 Main Street North, Crosby, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 965-6590.
NPI number for Mark Elliot Andre is 1922144468 and his current mailing address is 221 Main Street North, P.o. Box 261, Crosby, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922144468.
Healthcare Provider's Profile
| Full Name | Mark Elliot Andre |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 221 Main Street North, Crosby, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922144468
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/30/2008
Medical Identifiers
Medical identifiers for Mark Elliot Andre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922144468 | NPI | - | NPPES |
| 060266 | Medicaid | ND | |
| 0482069 | Medicaid | MT | |
| 060229 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 374 (North Dakota) | 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 Elliot Andre is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Elliot Andre, OD
221 Main Street North, P.o. Box 261,
Crosby, ND 58730-0261
Ph: (701) 965-6590 | Mark Elliot Andre, OD
221 Main Street North,
Crosby, ND 58730-0261
Ph: (701) 965-6590 |
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