Dr Mark D Plunkett, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Peoria, Illinois. His current practice location is
420 Ne Glen Oak Ave Ste 301, Suite 301, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 655-3453.
Dr Mark D Plunkett is licensed to practice in Illinois (license number 036-093440) 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 1518991074.
Physician's Profile
| Full Name | Dr Mark D Plunkett |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|
| Location | 420 Ne Glen Oak Ave Ste 301, Peoria, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1518991074
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 01/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163591603
- Enrollment ID: I20141218002207
Medical Identifiers
Medical identifiers for Dr Mark D Plunkett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518991074 | NPI | - | NPPES |
| 00G809460 | Medicaid | CA | |
| 7100053080 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 42233 (Kentucky) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 86428 (Georgia) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036-093440 (Illinois) | 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 D Plunkett allows following entities to bill medicare on his behalf.
| Entity Name | Osf Multi-specialty Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
|---|
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 D Plunkett 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 D Plunkett, MD
420 Ne Glen Oak Ave Ste 301, Suite 301,
Peoria, IL 61603-3169
Ph: (309) 655-3453 | Dr Mark D Plunkett, MD
420 Ne Glen Oak Ave Ste 301, Suite 301,
Peoria, IL 61603-3169
Ph: (309) 655-3453 |
Reviews and Comments