Mark Thomas Brulte, MD - Medicare Internal Medicine in Douglas, GA

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Mark Thomas Brulte, MD is a medicare enrolled "Internal Medicine" physician in Douglas, Georgia. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Tift Regional Health System Inc and his current practice location is 200 Doctors Dr, Suite 106, Douglas, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 384-3338.

Mark Thomas Brulte is licensed to practice in Georgia (license number 048490) 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 1205931672.

Contact Information

Mark Thomas Brulte, MD
200 Doctors Dr, Suite 106,
Douglas, GA 31533-2201
(912) 384-3338
(912) 389-0979

Map and Direction




Physician's Profile

Full NameMark Thomas Brulte
GenderMale
SpecialityInternal Medicine
Experience31 Years
Location200 Doctors Dr, Douglas, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Thomas Brulte attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1993
  NPI Data:
  • NPI Number: 1205931672
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 12/08/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8426055096
  • Enrollment ID: I20061025000267

Medical Identifiers

Medical identifiers for Mark Thomas Brulte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205931672NPI-NPPES
0008734441FMedicaidGA
GRP7301OtherGAMEDICARE GROUP #
000873441HMedicaidGA
478042OtherGAWELLCARE-DOUGLAS
543782OtherGAWELLCARE-NICHOLLS
000873441IMedicaidGA
00873441AMedicaidGA
541189OtherGAWELLCARE-WILLACOOCHEE
128214OtherGAPEACHSTATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 048490 (Georgia)Secondary
207R00000XInternal Medicine 048490 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Coffee Regional Medical Center, IncDouglas, GAHospital
Tift Regional Medical CenterTifton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tift Regional Health System Inc2062745169298

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 Thomas Brulte allows following entities to bill medicare on his behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NameCoffee Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437120946
PECOS PAC ID: 4587656012
Enrollment ID: O20040402000287
Entity NameNes Georgia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144201559
PECOS PAC ID: 0345210001
Enrollment ID: O20040729000602
Entity NameDouglas Medical Specialist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154475085
PECOS PAC ID: 6204868862
Enrollment ID: O20050902000434
Entity NameBen Hill Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043328156
PECOS PAC ID: 3274530837
Enrollment ID: O20061025000232
Entity NameEmergency Physicians Of Coffee County, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336431030
PECOS PAC ID: 1557549961
Enrollment ID: O20110706000343
Entity NameCoffee Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023353489
PECOS PAC ID: 4880834050
Enrollment ID: O20130711000400
Entity NameErx Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760823082
PECOS PAC ID: 9335037571
Enrollment ID: O20130930000326
Entity NameTift Regional Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881203305
PECOS PAC ID: 2062745169
Enrollment ID: O20200217002409

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 Thomas Brulte 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 Thomas Brulte, MD
200 Doctors Dr, Suite 106,
Douglas, GA 31533-2201

Ph: (912) 384-3338		Mark Thomas Brulte, MD
200 Doctors Dr, Suite 106,
Douglas, GA 31533-2201

Ph: (912) 384-3338

Reviews and Comments


Internal Medicine Doctors in Douglas, GA

Dr. Akhil Baranwal, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1105 Lee Ave, Douglas, GA 31533
Phone: 912-393-5051    Fax: 954-301-6333
Sudhakar Jonnalagadda, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 Shirley Ave, Douglas, GA 31533
Phone: 912-384-7275    Fax: 912-384-4343
Mr. Dennis Conrad Harper, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 N. Peterson Avenue, Suite C, Douglas, GA 31533
Phone: 912-384-4000    Fax: 912-384-4085
Dr. Willie W Bell, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1305 Ocilla Rd, Douglas, GA 31533
Phone: 912-384-0600    Fax: 912-384-0601
Dr. John David Arnett, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Doctors Dr, Suite 106, Douglas, GA 31533
Phone: 912-384-3338    
Dr. Joel W Ferree, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1305 Ocilla Rd, Douglas, GA 31533
Phone: 912-384-0600    Fax: 912-384-0601
Dr. Glenn Hamilton Evans Sr., MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1305 Ocilla Rd, Douglas, GA 31533
Phone: 912-384-0600    Fax: 912-384-0601

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.