Mark E King, PA is a medicare enrolled "Physician Assistant - Medical" physician in Ruidoso, New Mexico. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St. Vincent Hospital and his current practice location is
1401 Sudderth Dr, Ruidoso, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 257-7712.
Mark E King is licensed to practice in New Mexico (license number 95-PA19) 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 1457442691.
Physician's Profile
| Full Name | Mark E King |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 30 Years |
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| Location | 1401 Sudderth Dr, Ruidoso, New Mexico |
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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 E King graduated from medical school in 1994
NPI Data:
- NPI Number: 1457442691
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 04/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 0345291860
- Enrollment ID: I20050321000101
Medical Identifiers
Medical identifiers for Mark E King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457442691 | NPI | - | NPPES |
| 605960011 | Other | WA | USDLAB |
| 3016KI | Other | WA | BSWA |
| 8464794 | Medicaid | WA | |
| 0220796 | Other | WA | LIWA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 10003262 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 95-PA19 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Vincent Hospital | 6608775135 | 267 |
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 E King 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 E King, PA
1401 Sudderth Dr,
Ruidoso, NM 88345-6104
Ph: (575) 257-7712 | Mark E King, PA
1401 Sudderth Dr,
Ruidoso, NM 88345-6104
Ph: (575) 257-7712 |
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