Dr Mark A Kummer, MD - Medicare Pediatrics in Anchorage, AK

Dr Mark A Kummer, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Anchorage, Alaska. His current practice location is 3340 Providence Dr Ste A351, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 212-4824.

Dr Mark A Kummer is licensed to practice in Alaska (license number 161162) 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 1487732640.

Contact Information

Dr Mark A Kummer, MD
3340 Providence Dr Ste A351,
Anchorage, AK 99508-4621
(907) 212-4824
(907) 212-4831

Map and Direction




Physician's Profile

Full NameDr Mark A Kummer
GenderMale
SpecialityPediatrics - Pediatric Endocrinology
Location3340 Providence Dr Ste A351, Anchorage, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487732640
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 04/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082636238
  • Enrollment ID: I20060328000507

Medical Identifiers

Medical identifiers for Dr Mark A Kummer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487732640NPI-NPPES
274908400MedicaidFL
009936164MedicaidAL
K171969MedicaidAK
05984726MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology ME95389 (Florida)Secondary
2080P0205XPediatrics - Pediatric Endocrinology 161162 (Alaska)Primary

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 Mark A Kummer allows following entities to bill medicare on his behalf.
Entity NameThe Nemours Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386658615
PECOS PAC ID: 9537072483
Enrollment ID: O20040109000252

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 Kummer 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 AddressPractice Location Address
Dr Mark A Kummer, MD
Po Box 4105,
Portland, OR 97208-4105

Ph: (866) 907-1068
Dr Mark A Kummer, MD
3340 Providence Dr Ste A351,
Anchorage, AK 99508-4621

Ph: (907) 212-4824

Reviews and Comments


Pediatrics Doctors in Anchorage, AK

Elizabeth Mumford Galloway, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Providence Dr, Anchorage, AK 99508
Phone: 907-562-2211    Fax: 509-479-0214
Wendy Bailey, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3340 Providence Dr, Suite A-351, Anchorage, AK 99508
Phone: 907-212-4824    Fax: 907-212-4831
Jay D. Johnson, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508
Phone: 907-212-6900    
Dr. Stephen Scott Baker, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2841 Debarr Rd, Bldg A, Suite 23, Anchorage, AK 99508
Phone: 907-677-1864    Fax: 907-868-5167
Dr. Rachel Mauryce Kerford Lescher, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4320 Diplomacy Dr, Suite 2300, Anchorage, AK 99508
Phone: 907-729-1000    Fax: 907-729-5244
Dr. James Monroe Nesbitt Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Providence Dr, Administration Office, Anchorage, AK 99508
Phone: 907-261-5098    Fax: 907-743-2358
Dr. Emily Margaret Reilly, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508
Phone: 907-729-4068    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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