Dr Mark Edward Wert, MD is a medicare enrolled "Emergency Medicine" physician in Sewanee, Tennessee. His current practice location is
1260 University Ave, Sewanee, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 598-5691.
Dr Mark Edward Wert is licensed to practice in Tennessee (license number MD0000027013) 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 1467411553.
Physician's Profile
| Full Name | Dr Mark Edward Wert |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1260 University Ave, Sewanee, Tennessee |
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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: 1467411553
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 06/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911945225
- Enrollment ID: I20050418001240
Medical Identifiers
Medical identifiers for Dr Mark Edward Wert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467411553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 17203 (Alabama) | Secondary |
| 207P00000X | Emergency Medicine | 35.066112 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | MD0000027013 (Tennessee) | Primary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 27013 (Tennessee) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 27013 (Tennessee) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 27013 (Tennessee) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 17203 (Alabama) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD0000027103 (Tennessee) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 35.066112 (Ohio) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 17203 (Alabama) | Secondary |
| 208D00000X | General Practice | MD0000027103 (Tennessee) | Secondary |
| 208D00000X | General Practice | 17203 (Alabama) | Secondary |
| 208D00000X | General Practice | 36.066112 (Ohio) | Secondary |
| 208D00000X | General Practice | 036-101546 (Illinois) | Secondary |
| 202C00000X | Independent Medical Examiner | 27013 (Tennessee) | Secondary |
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 Edward Wert allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997 |
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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 Edward Wert 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 Edward Wert, MD
761 Gipson Ln,
Decherd, TN 37324-4055
Ph: (931) 361-1411 | Dr Mark Edward Wert, MD
1260 University Ave,
Sewanee, TN 37375-2303
Ph: (931) 598-5691 |
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