Dr Mark A Criswell, MD, FACS is a medicare enrolled "Otolaryngology" physician in Eglin Afb, Florida. His current practice location is
307 Boatner Rd Ste 114, Eglin Afb, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 883-8264.
Dr Mark A Criswell is licensed to practice in Colorado (license number 00056111) 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 1619947033.
Physician's Profile
| Full Name | Dr Mark A Criswell |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619947033
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 07/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 7517097397
- Enrollment ID: I20190501001120
Medical Identifiers
Medical identifiers for Dr Mark A Criswell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619947033 | NPI | - | NPPES |
| 21400253 | Medicaid | CO | |
| 027034 | Other | CO | KAISER COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 01046367A (Indiana) | Secondary |
| 207YS0012X | Otolaryngology - Sleep Medicine | 01046367A (Indiana) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 0056111 (Colorado) | Secondary |
| 207Y00000X | Otolaryngology | 00056111 (Colorado) | 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 Criswell 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 Criswell, MD, FACS 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8264 | Dr Mark A Criswell, MD, FACS 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Ph: (850) 883-8264 |
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