Dr Leslie Alison Mark, MD in San Diego, CA

Dr Leslie Alison Mark, MD is a medicare enrolled "Dermatology" physician in San Diego, California. Her current practice location is 5222 Balboa Ave, Sixth Floor, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 292-0204.

Dr Leslie Alison Mark is licensed to practice in California (license number G36164) 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 1073552238.

Contact Information

	Dr Leslie Alison Mark, MD
	5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904
	(858) 292-0204
	(858) 292-0514

Map and Direction

Physician's Profile

Full Name	Dr Leslie Alison Mark
Gender	Female
Speciality	Dermatology
Location	5222 Balboa Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073552238
Provider Enumeration Date: 06/05/2006
Last Update Date: 05/05/2008

Medicare PECOS Information:

PECOS PAC ID: 9335276989
Enrollment ID: I20100430000571

Medical Identifiers

Medical identifiers for Dr Leslie Alison Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073552238	NPI	-	NPPES
00G361640	Medicaid	CA
G36164	Other	CA	CA STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	G36164 (California)	Primary
207ND0101X	Dermatology - Mohs-micrographic Surgery	G36164 (California)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	G36164 (California)	Secondary

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 Leslie Alison Mark allows following entities to bill medicare on her behalf.

Entity Name	Skin Surgery Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659326957 PECOS PAC ID: 4880683341 Enrollment ID: O20040510000866

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 Leslie Alison 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
Dr Leslie Alison Mark, MD 5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904 Ph: (858) 292-0204	Dr Leslie Alison Mark, MD 5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904 Ph: (858) 292-0204

Reviews and Comments

Dermatology Doctors in San Diego, CA

Somaira Nowsheen, MD PHD Dermatology Medicare: Medicare Enrolled Practice Location: 8899 University Center Ln Ste 350, San Diego, CA 92122 Phone: 858-657-8322
Dr. Stephen Erik Hemperly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Fourth Ave Ste 415, San Diego, CA 92103 Phone: 619-298-9809 Fax: 619-298-9823
Dr. Ghada K Kassab, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3737 Moraga Ave Ste A206, San Diego, CA 92117 Phone: 858-273-2726 Fax: 858-273-2725
Dr. Vikas Shrivastava, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-251-7471
Kathleen Kramer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 196-532-6400
Dr. Michelle Terez Pelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3965 5th Ave Ste 200, San Diego, CA 92103 Phone: 619-542-0013 Fax: 619-542-0559
Sharon Jacob-soo, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3860 Calle Fortunada, Ste #210, San Diego, CA 92123 Phone: 858-309-6303 Fax: 858-309-6301

Dr Leslie Alison Mark, MD - Medicare Dermatology in San Diego, CA