Mark B Lim, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Lake Havasu City, Arizona. His current practice location is
1840 Mesquite Ave Ste B, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 453-8500.
Mark B Lim is licensed to practice in Arizona (license number R81303) 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 1104844216.
Healthcare Provider's Profile
Full Name | Mark B Lim |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1840 Mesquite Ave Ste B, Lake Havasu City, Arizona |
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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: 1104844216
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719419613
- Enrollment ID: I20241016004435
Medical Identifiers
Medical identifiers for Mark B Lim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104844216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT9151 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | R81303 (Arizona) | 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 B Lim 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 B Lim, MD 1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5771 Ph: (928) 453-8500 | Mark B Lim, MD 1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5771 Ph: (928) 453-8500 |
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