Dr Mark A Condon, MD is a medicare enrolled "Urology" physician in Flowood, Mississippi. His current practice location is
294 E Layfair Dr, Flowood, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 936-4645.
Dr Mark A Condon is licensed to practice in Mississippi (license number 13590) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255419263.
Physician's Profile
| Full Name | Dr Mark A Condon |
|---|
| Gender | Male |
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| Speciality | Urology |
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| Location | 294 E Layfair Dr, Flowood, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255419263
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 5698702926
- Enrollment ID: I20110210000472
Medical Identifiers
Medical identifiers for Dr Mark A Condon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255419263 | NPI | - | NPPES |
| 00119423 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 13590 (Mississippi) | 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 Condon 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 Mark A Condon, MD
294 E Layfair Dr,
Flowood, MS 39232-9526
Ph: (601) 936-4645 | Dr Mark A Condon, MD
294 E Layfair Dr,
Flowood, MS 39232-9526
Ph: (601) 936-4645 |
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