Mr Mark Stephen Sudekum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Greenville, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 2009 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Eventus Wholehealth Pllc and his current practice location is
2602 Courtier Dr, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 752-0483.
Mr Mark Stephen Sudekum is licensed to practice in North Carolina (license number C007438) 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 1497077861.
Healthcare Provider's Profile
| Full Name | Mr Mark Stephen Sudekum |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 2602 Courtier Dr, Greenville, North Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mark Stephen Sudekum attended and graduated from Brody School Of Medicine At East Carolina University in 2009
NPI Data:
- NPI Number: 1497077861
- Provider Enumeration Date: 02/25/2010
- Last Update Date: 09/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769644137
- Enrollment ID: I20120501000314
Medical Identifiers
Medical identifiers for Mr Mark Stephen Sudekum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497077861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1578 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C007438 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eventus Wholehealth Pllc | 6002169539 | 309 |
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. Mr Mark Stephen Sudekum allows following entities to bill medicare on his behalf.
| Entity Name | Eventus Wholehealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281 |
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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. Mr Mark Stephen Sudekum 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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Mr Mark Stephen Sudekum, LCSW
4300 Sapphire Ct Ste 110,
Greenville, NC 27834-9079
Ph: (252) 830-7561 | Mr Mark Stephen Sudekum, LCSW
2602 Courtier Dr,
Greenville, NC 27834-7818
Ph: (252) 752-0483 |
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