| Dr Marc Alan Booth, MD | |
|
1225 E Coolspring Ave Ste 1-b, Michigan City, IN 46360-6312 | |
| (219) 879-6531 | |
| Not Available |
| Full Name | Dr Marc Alan Booth |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1225 E Coolspring Ave Ste 1-b, Michigan City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275515710 | NPI | - | NPPES |
| 200527370 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 01061093A (Indiana) | Primary |
| 207W00000X | Ophthalmology | 2023-00058 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc Alan Booth, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Marc Alan Booth, MD 1225 E Coolspring Ave Ste 1-b, Michigan City, IN 46360-6312 Ph: (219) 879-6531 |
Stephen Kroczek, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5034 Fax: 219-878-5002 | |
Dr. Richard James Houck, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Suite 1a, Michigan City, IN 46360 Phone: 219-878-5035 Fax: 219-878-5002 |