Mark R Ofenloch, PHD is a medicare enrolled "Psychologist - Clinical" provider in Dayton, Tennessee. He went to University Of Florida College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice We Care Individual And Family Service Center Inc. and his current practice location is
1273 Dayton Mountain Hwy, Dayton, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 570-1900.
Mark R Ofenloch is licensed to practice in Tennessee (license number P0000001005) 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 1992891022.
Healthcare Provider's Profile
| Full Name | Mark R Ofenloch |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 1273 Dayton Mountain Hwy, Dayton, Tennessee |
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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:
- Mark R Ofenloch attended and graduated from University Of Florida College Of Medicine in 1999
NPI Data:
- NPI Number: 1992891022
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183899842
- Enrollment ID: I20111207000498
Medical Identifiers
Medical identifiers for Mark R Ofenloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992891022 | NPI | - | NPPES |
| 4024807 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 3685725 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | P0000001005 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| We Care Individual And Family Service Center Inc. | 7012939945 | 2 |
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. Mark R Ofenloch allows following entities to bill medicare on his behalf.
| Entity Name | We Care Individual And Family Service Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225124209
PECOS PAC ID: 7012939945
Enrollment ID: O20051220000663 |
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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. Mark R Ofenloch 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 |
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Mark R Ofenloch, PHD
Po Box 307,
Dayton, TN 37321-0307
Ph: (423) 570-1900 | Mark R Ofenloch, PHD
1273 Dayton Mountain Hwy,
Dayton, TN 37321-2816
Ph: (423) 570-1900 |
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