Dr Mark Earl Bomia, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Okatie, South Carolina. His current practice location is
719 Okatie Hwy # 170, Okatie, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 987-7400.
Dr Mark Earl Bomia is licensed to practice in South Carolina (license number 36489) 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 1790855674.
Physician's Profile
Full Name | Dr Mark Earl Bomia |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 719 Okatie Hwy # 170, Okatie, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790855674
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779009154
- Enrollment ID: I20250429001576
Medical Identifiers
Medical identifiers for Dr Mark Earl Bomia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790855674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 02003096A (Indiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 36489 (South Carolina) | 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 Earl Bomia allows following entities to bill medicare on his behalf.
Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
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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 Earl Bomia 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 Earl Bomia, DO Po Box 357, Ridgeland, SC 29936-2605 Ph: (843) 987-7400 | Dr Mark Earl Bomia, DO 719 Okatie Hwy # 170, Okatie, SC 29909-3963 Ph: (843) 987-7400 |
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