Ellen Mark, DDS in Sacramento, CA - Medicare Dentist Provider

Ellen Mark, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Sacramento, California. Her current practice location is 6399 Garfield Ave, Suite 150, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 344-1000.

Ellen Mark is licensed to practice in California (license number 57132) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104073121.

Contact Information

	Ellen Mark, DDS
	6399 Garfield Ave, Suite 150, Sacramento, CA 95841
	(916) 344-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Mark
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	6399 Garfield Ave, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104073121
Provider Enumeration Date: 08/20/2008
Last Update Date: 08/20/2008

Medicare PECOS Information:

PECOS PAC ID: 2860848843
Enrollment ID: I20231026004243

Medical Identifiers

Medical identifiers for Ellen Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104073121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	57132 (California)	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. Ellen Mark allows following entities to bill medicare on her behalf.

Entity Name	Northern Valley Indian Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114

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. Ellen Mark 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
Ellen Mark, DDS Po Box 72866, Davis, CA 95617-2866 Ph: (530) 756-5060	Ellen Mark, DDS 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 Ph: (916) 344-1000

Reviews and Comments

Dentist in Sacramento, CA

David Brian Hull, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1870 Avondale Ave, Suite #2, Sacramento, CA 95825 Phone: 916-481-5990 Fax: 916-481-0661
Dr. Mark Atsushi Kujiraoka, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2821 Eastern Avenue, Suite #2, Sacramento, CA 95821 Phone: 916-483-7459 Fax: 916-483-0604
Grace You, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7260 E Southgate Dr, Sacramento, CA 95823 Phone: 916-393-5881
Dr. Lindsay M Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 925 Secret River Dr, Suite 2a, Sacramento, CA 95831 Phone: 916-905-0345 Fax: 888-678-2930
Agnes Sicat Yumiaco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Scripps Dr Ste 305, Sacramento, CA 95825 Phone: 916-929-0248 Fax: 916-929-0244
Dr. Brian Francis Bolstad, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 24th St Ste 102, Sacramento, CA 95816 Phone: 916-497-0487 Fax: 916-497-0451
Dr. Thomas Wey Fong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 J St, Suite 200, Sacramento, CA 95816 Phone: 916-457-7080 Fax: 916-457-7088

Ellen Mark, DDS - Medicare Dentist in Sacramento, CA