Dr Mark Louis Greenberg, MD is a medicare enrolled "Pediatrics" physician in Frontenac, Missouri. His current practice location is
585 Twin Fawns Dr, Frontenac, Missouri. You can reach out to his office (for appointments etc.) via phone at
(602) 561-0367.
Dr Mark Louis Greenberg is licensed to practice in Missouri (license number R7G09) 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 1043219967.
Physician's Profile
| Full Name | Dr Mark Louis Greenberg |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 585 Twin Fawns Dr, Frontenac, Missouri |
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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: 1043219967
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 04/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 8729001607
- Enrollment ID: I20221109002111
Medical Identifiers
Medical identifiers for Dr Mark Louis Greenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043219967 | NPI | - | NPPES |
| 418677 | Medicaid | AZ | |
| 200260860 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 21921 (Arizona) | Secondary |
| 208000000X | Pediatrics | R7G09 (Missouri) | 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 Louis Greenberg allows following entities to bill medicare on his behalf.
| Entity Name | Family Care Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508867508 PECOS PAC ID: 7911815097 Enrollment ID: O20041206000646 |
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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 Louis Greenberg 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 Louis Greenberg, MD 585 Twin Fawns Dr, Frontenac, MO 63131-4717 Ph: (602) 561-0367 | Dr Mark Louis Greenberg, MD 585 Twin Fawns Dr, Frontenac, MO 63131-4717 Ph: (602) 561-0367 |
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