Mark Laurel, is a
Contractor based in Indianapolis, Indiana. Mark Laurel is licensed to practice in Maryland (license number 22361) and his current practice location is
5980 W 71st St Ste 102, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 388-0800.
NPI number for Mark Laurel is 1184959314 and his current mailing address is 5980 W 71st St Ste 102, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184959314.
Healthcare Provider's Profile
| Full Name | Mark Laurel |
|---|
| Gender | Male |
|---|
| Speciality | Contractor |
|---|
| Location | 5980 W 71st St Ste 102, Indianapolis, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184959314
- Provider Enumeration Date: 10/06/2009
- Last Update Date: 02/11/2015
Medical Identifiers
Medical identifiers for Mark Laurel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184959314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 4073 (New Mexico) | Secondary |
| 171W00000X | Contractor | 22361 (Maryland) | 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 Laurel 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 Laurel,
5980 W 71st St Ste 102,
Indianapolis, IN 46278-1785
Ph: (317) 388-0800 | Mark Laurel,
5980 W 71st St Ste 102,
Indianapolis, IN 46278-1785
Ph: (317) 388-0800 |
Reviews and Comments