Dr Mark A Booth, MD is a
Family Medicine physician based in Homer, Michigan. Dr Mark A Booth is licensed to practice in Michigan (license number 4301043850) and his current practice location is 420 S Hillsdale St, Homer, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 568-4481.
NPI number for Dr Mark A Booth is 1518922863 and his current mailing address is 420 S Hillsdale St, Homer, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518922863.
Physician's Profile
| Full Name | Dr Mark A Booth |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 420 S Hillsdale St, Homer, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518922863
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 12/05/2014
Medical Identifiers
Medical identifiers for Dr Mark A Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518922863 | NPI | - | NPPES |
| 080157041 | Other | MI | RAILROAD MEDICARE |
| 080A360590 | Other | MI | BLUE CROSS BLUE SHIELD |
| 103118050 | Medicaid | MI | |
| DA0352 | Other | MI | RAILROAD MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 4301043850 (Michigan) | Primary |
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 A Booth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark A Booth, MD
420 S Hillsdale St,
Homer, MI 49245-1248
Ph: (517) 568-4481 | Dr Mark A Booth, MD
420 S Hillsdale St,
Homer, MI 49245-1248
Ph: (517) 568-4481 |
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