Dr Mark C Weston, DDS is a medicare enrolled "Dentist" provider in Garden City, Utah. His current practice location is
325 W Logan Rd, Garden City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 946-3660.
Dr Mark C Weston is licensed to practice in Utah (license number 12373907-9921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114016250.
Healthcare Provider's Profile
| Full Name | Dr Mark C Weston |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 325 W Logan Rd, Garden City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114016250
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204131295
- Enrollment ID: I20210901002125
Medical Identifiers
Medical identifiers for Dr Mark C Weston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114016250 | NPI | - | NPPES |
| 115359500 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D-5360 (Idaho) | Secondary |
| 122300000X | Dentist | D-5360 (Idaho) | Secondary |
| 1223G0001X | Dentist - General Practice | 956 (Wyoming) | Secondary |
| 1223G0001X | Dentist - General Practice | 12373907-9921 (Utah) | Secondary |
| 122300000X | Dentist | 12373907-9921 (Utah) | Primary |
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. Dr Mark C Weston allows following entities to bill medicare on his behalf.
| Entity Name | Bear Lake Community Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689754475
PECOS PAC ID: 9032020037
Enrollment ID: O20040110000158 |
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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. Dr Mark C Weston 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 |
|---|
Dr Mark C Weston, DDS
517 W 100 N Ste 210,
Providence, UT 84332-9826
Ph: (435) 755-6061 | Dr Mark C Weston, DDS
325 W Logan Rd,
Garden City, UT 84028-7754
Ph: (435) 946-3660 |
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