Dr Mark L Waltzman, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Boson, Massachusetts. His current practice location is
Children's Hospital Boston Division Of Emergency, 300 Longwood Ave, Boson, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 355-6624.
Dr Mark L Waltzman is licensed to practice in Massachusetts (license number 153293) 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 1740248970.
Physician's Profile
Full Name | Dr Mark L Waltzman |
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Gender | Male |
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Speciality | Pediatrics - Pediatric Emergency Medicine |
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Location | Children's Hospital Boston Division Of Emergency, Boson, Massachusetts |
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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: 1740248970
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 10/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 6103891387
- Enrollment ID: I20040831001043
Medical Identifiers
Medical identifiers for Dr Mark L Waltzman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740248970 | NPI | - | NPPES |
3193240 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 153293 (Massachusetts) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 153293 (Massachusetts) | 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 L Waltzman allows following entities to bill medicare on his behalf.
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
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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 L Waltzman 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 L Waltzman, MD 300 Longwood Ave, 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6624 | Dr Mark L Waltzman, MD Children's Hospital Boston Division Of Emergency, 300 Longwood Ave, Boson, MA 02115 Ph: (617) 355-6624 |
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