Dr Mark Favot, MD is a medicare enrolled "General Acute Care Hospital" physician in Detroit, Michigan. He went to George Washington University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Cep America Llc and his current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 916-1553.
Dr Mark Favot is licensed to practice in Michigan (license number 207N00000X) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588985923.
Physician's Profile
Full Name | Dr Mark Favot |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 16 Years |
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Location | 2799 W Grand Blvd, Detroit, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mark Favot attended and graduated from George Washington University School Of Medicine in 2008
NPI Data:
- NPI Number: 1588985923
- Provider Enumeration Date: 06/21/2010
- Last Update Date: 07/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769652627
- Enrollment ID: I20110901000102
Medical Identifiers
Medical identifiers for Dr Mark Favot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588985923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4301092115 (Michigan) | Secondary |
282N00000X | General Acute Care Hospital | 207N00000X (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cep America Llc | 6608056171 | 569 |
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 Favot allows following entities to bill medicare on his behalf.
Entity Name | Medical Center Emergency Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902855711 PECOS PAC ID: 0648182071 Enrollment ID: O20031104000133 |
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Entity Name | Kalamazoo Emergency Associates, Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
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Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
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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 Favot 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 Favot, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-1553 | Dr Mark Favot, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-1553 |
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