Mark M Widloski, DDS in Maryville, TN - Medicare Maxillofacial Surgery Provider

Mark M Widloski, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Maryville, Tennessee. He went to Medical College Of Wisconsin and graduated in 1986 and has 38 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice East Tennessee Oral And Maxillofacial Surgery, Pc and his current practice location is 1505 E Lamar Alexander Pkwy, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 983-8630.

Mark M Widloski is licensed to practice in Tennessee (license number DS4711) 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 1285631135.

Contact Information

	Mark M Widloski, DDS
	1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131
	(865) 983-8630
	(865) 983-3616

Map and Direction

Healthcare Provider's Profile

Full Name	Mark M Widloski
Gender	Male
Speciality	Maxillofacial Surgery
Experience	38 Years
Location	1505 E Lamar Alexander Pkwy, Maryville, Tennessee
Accepts Medicare Assignments	Yes. 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 M Widloski attended and graduated from Medical College Of Wisconsin in 1986

NPI Data:

NPI Number: 1285631135
Provider Enumeration Date: 07/07/2005
Last Update Date: 10/10/2011

Medicare PECOS Information:

PECOS PAC ID: 4981733391
Enrollment ID: I20100525000036

Medical Identifiers

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

Identifier	Type	State	Issuer
1285631135	NPI	-	NPPES
3225440	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DS4711 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Tennessee Oral And Maxillofacial Surgery, Pc	9234103359	5

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 M Widloski allows following entities to bill medicare on his behalf.

Entity Name	East Tennessee Oral & Maxillofacial Surgery, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174624498 PECOS PAC ID: 9234103359 Enrollment ID: O20040824001131

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 M Widloski 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 M Widloski, DDS 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 Ph: (865) 983-8630	Mark M Widloski, DDS 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 Ph: (865) 983-8630

Reviews and Comments

Dentist in Maryville, TN

Dr. Robert Vinsant Ingle, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1930 East Lamar Alexander Parkway, Maryville, TN 37804 Phone: 865-984-3604
Dr. Roy Alan Pinkard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 663 Morganton Square Dr, Maryville, TN 37801 Phone: 865-982-8270
Dr. James W Curtiss Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1507 East Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-984-3211 Fax: 865-984-9858
Dr. Brock D. Evans, DMD Dentist Medicare: Accepting Medicare Assignments Practice Location: 1505 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-8630 Fax: 865-981-4914
Hope Elizabeth Watson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 632 Smithview Dr, Maryville, TN 37803 Phone: 865-977-8877 Fax: 865-977-6105
Troy A Trondson, DDS, MD Dentist Medicare: Accepting Medicare Assignments Practice Location: 1505 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-8630 Fax: 865-981-4914
John B Briley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1127 E Lamar Alexander Pky, Maryville, TN 37804 Phone: 865-681-0770 Fax: 865-681-0870

Mark M Widloski, DDS - Medicare Dentist in Maryville, TN