Dr Mark R Light, DPM | |
4439 Roswell Rd, Marietta, GA 30062-6452 | |
(770) 977-8221 | |
(770) 977-8222 |
Full Name | Dr Mark R Light |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 35 Years |
Location | 4439 Roswell Rd, Marietta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427055805 | NPI | - | NPPES |
000467618B | Medicaid | GA | |
3026473 | Other | GA | AETNA HMO |
005480 | Other | GA | BCBS |
4137290 | Other | GA | AETNA PPO |
480034802 | Other | GA | RAILROAD MEDICARE |
4830810001 | Other | GA | DMERC |
412063128 | Other | GA | TAX ID # |
REF000049272 | Other | GA | PEACHCARE MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00630 (Georgia) | Primary |
Provider Name | East Cobb Foot & Ankle Care P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184770133 PECOS PAC ID: 0840358677 Enrollment ID: O20081023000515 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark R Light, DPM 4439 Roswell Rd, Marietta, GA 30062-6452 Ph: (770) 977-8221 | Dr Mark R Light, DPM 4439 Roswell Rd, Marietta, GA 30062-6452 Ph: (770) 977-8221 |
Choice Podiatry Center, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 770-702-8723 | |
Robert I Heden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4439 Roswell Rd, Marietta, GA 30062 Phone: 770-977-8221 Fax: 770-977-8222 | |
Choice Podiatry Center, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 707-702-8809 | |
Village Podiatry Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3515 Dallas Hwy Sw, Marietta, GA 30064 Phone: 770-499-0080 Fax: 770-499-0570 | |
John Andrew Martucci, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 120 Vann St Ne Ste 100, Marietta, GA 30060 Phone: 678-679-5234 Fax: 770-218-8135 | |
Charles R Haendel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne, Ste 450, Marietta, GA 30060 Phone: 770-590-4188 Fax: 770-590-4189 | |
Village Podiatry Group Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Johnson Ferry Rd Ste 375, Marietta, GA 30068 Phone: 770-273-8895 |