Mark David Ahlquist, MD is a medicare enrolled "Family Medicine" physician in Renville, Minnesota. His current practice location is
420 Main Street N, Renville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 329-8395.
Mark David Ahlquist is licensed to practice in Minnesota (license number 32093) 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 1548221724.
Physician's Profile
| Full Name | Mark David Ahlquist |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 420 Main Street N, Renville, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548221724
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 11/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 2567415375
- Enrollment ID: I20071015000426
Medical Identifiers
Medical identifiers for Mark David Ahlquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548221724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 32093 (Minnesota) | 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. Mark David Ahlquist allows following entities to bill medicare on his behalf.
| Entity Name | Healthpartners Rc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649470782 PECOS PAC ID: 5890126726 Enrollment ID: O20200618000378 |
|---|
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. Mark David Ahlquist 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 |
Mark David Ahlquist, MD 100 Healthy Way, Olivia, MN 56277-1117 Ph: (320) 523-1261 | Mark David Ahlquist, MD 420 Main Street N, Renville, MN 56284-0606 Ph: (320) 329-8395 |
Reviews and Comments