Dr Mark Steven Wilke, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Plymouth, Minnesota. He went to University Of Minnesota Medical School and graduated in 1985 and has 41 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Dermatology Specialists, Pa and his current practice location is
9900 13th Avenue N, Ste 2a, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 525-0363.
Dr Mark Steven Wilke is licensed to practice in Minnesota (license number 37708) 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 1376546234.
Physician's Profile
| Full Name | Dr Mark Steven Wilke |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 41 Years |
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| Location | 9900 13th Avenue N, Plymouth, Minnesota |
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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 Steven Wilke attended and graduated from University Of Minnesota Medical School in 1985
NPI Data:
- NPI Number: 1376546234
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 06/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183657315
- Enrollment ID: I20050916000793
Medical Identifiers
Medical identifiers for Dr Mark Steven Wilke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376546234 | NPI | - | NPPES |
| 048218800 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZD0900X | Pathology - Dermatopathology | 37708 (Minnesota) | Primary |
| 207ZP0101X | Pathology - Anatomic Pathology | 37708 (Minnesota) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermatology Specialists, Pa | 1456248137 | 15 |
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 Steven Wilke allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Specialists, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992752117
PECOS PAC ID: 1456248137
Enrollment ID: O20040413000263 |
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| Entity Name | Fairview Express Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548 |
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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 Steven Wilke 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 Steven Wilke, MD
3316 W 66th St, Ste 200,
Edina, MN 55435-2544
Ph: (763) 525-0363 | Dr Mark Steven Wilke, MD
9900 13th Avenue N, Ste 2a,
Plymouth, MN 55441-5035
Ph: (763) 525-0363 |
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