Dr Mark Glen Cleveland, MD PHD is a medicare enrolled "Dermatology" physician in West Burlington, Iowa. He went to University Of Texas Medical Branch At Galveston and graduated in 1990 and has 34 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology and his current practice location is
1225 S Gear Ave Ste 252, West Burlington, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 752-1805.
Dr Mark Glen Cleveland is licensed to practice in Iowa (license number 31130) 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 1720086523.
Physician's Profile
| Full Name | Dr Mark Glen Cleveland |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 34 Years |
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| Location | 1225 S Gear Ave Ste 252, West Burlington, Iowa |
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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. |
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Medical Education and Training:
- Dr Mark Glen Cleveland attended and graduated from University Of Texas Medical Branch At Galveston in 1990
NPI Data:
- NPI Number: 1720086523
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 02/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426940933
- Enrollment ID: I20100320000190
Medical Identifiers
Medical identifiers for Dr Mark Glen Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720086523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 31130 (Iowa) | Secondary |
| 207N00000X | Dermatology | 31130 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forefront Dermatology | 3779471701 | 474 |
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 Glen Cleveland allows following entities to bill medicare on his behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316342611
PECOS PAC ID: 3779471701
Enrollment ID: O20130819000272 |
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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 Glen Cleveland 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 |
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Dr Mark Glen Cleveland, MD PHD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | Dr Mark Glen Cleveland, MD PHD
1225 S Gear Ave Ste 252,
West Burlington, IA 52655-1687
Ph: (319) 752-1805 |
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