Mark D Hughes, D O P A - Medicare Family Practice in Seven Points, TX

Mark D Hughes, D O P A is a medicare enrolled "Family Medicine" physician in Seven Points, Texas. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Php Ins Tx Pllc and his current practice location is 606 S Seven Points Dr, Ste 9, Seven Points, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 432-2707.

Mark D Hughes is licensed to practice in Texas (license number F1666) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225033210.

Contact Information

Mark D Hughes, D O P A
606 S Seven Points Dr, Ste 9,
Seven Points, TX 75143-9117
(903) 432-2707
Not Available

Map and Direction




Physician's Profile

Full NameMark D Hughes
GenderMale
SpecialityFamily Practice
Experience46 Years
Location606 S Seven Points Dr, Seven Points, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark D Hughes graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1225033210
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 12/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658357850
  • Enrollment ID: I20120514000165

Medical Identifiers

Medical identifiers for Mark D Hughes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225033210NPI-NPPES
154447001MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine F1666 (Texas)Secondary
207Q00000XFamily Medicine F1666 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Php Ins Tx Pllc56981947025

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 D Hughes allows following entities to bill medicare on his behalf.
Entity NameMark D. Hughes D O P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528100534
PECOS PAC ID: 1052397254
Enrollment ID: O20040628001245
Entity NamePhp Ins Tx Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306455712
PECOS PAC ID: 5698194702
Enrollment ID: O20200923000750

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 D Hughes 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 AddressPractice Location Address
Mark D Hughes, D O P A
Po Box 43406,
Seven Points, TX 75143-8504

Ph: (903) 432-2707
Mark D Hughes, D O P A
606 S Seven Points Dr, Ste 9,
Seven Points, TX 75143-9117

Ph: (903) 432-2707

Reviews and Comments


Family Medicine Doctors in Seven Points, TX

Dr. Catherine Suefen Tsai, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 606 S Seven Points Dr Ste 9, Seven Points, TX 75143
Phone: 903-432-2707    Fax: 903-432-2709

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.