Dr Mark Macumber, MD is a medicare enrolled "Phlebology" physician in Meridian, Idaho. He graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Advanced Vein Center, Inc. and his current practice location is
3277 E Louise Dr Ste 360, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 600-1550.
Dr Mark Macumber is licensed to practice in Illinois (license number 036-096467) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598805830.
Physician's Profile
| Full Name | Dr Mark Macumber |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 32 Years |
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| Location | 3277 E Louise Dr Ste 360, Meridian, Idaho |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark Macumber graduated from medical school in 1994
NPI Data:
- NPI Number: 1598805830
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 05/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456257492
- Enrollment ID: I20050929000722
Medical Identifiers
Medical identifiers for Dr Mark Macumber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598805830 | NPI | - | NPPES |
| 036096467 | Medicaid | IL | |
| 789511 | Other | IL | GROUP MEDICARE PTAN |
| 789510 | Other | IL | GROUP MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 036096467 (Illinois) | Secondary |
| 202K00000X | Phlebology | 036-096467 (Illinois) | 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 Macumber allows following entities to bill medicare on his behalf.
| Entity Name | Erie Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760499545
PECOS PAC ID: 9537050422
Enrollment ID: O20040322000689 |
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| Entity Name | Macumber Medical Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407484645
PECOS PAC ID: 7214313550
Enrollment ID: O20221010002964 |
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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 Macumber 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 Macumber, MD
3114 W Irving Park Rd Ste 1w,
Chicago, IL 60618-3435
Ph: (312) 600-4526 | Dr Mark Macumber, MD
3277 E Louise Dr Ste 360,
Meridian, ID 83642-9359
Ph: (208) 600-1550 |
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