Mark Ahlman, MD is a medicare enrolled "Nuclear Medicine" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-9400.
Mark Ahlman is licensed to practice in Virginia (license number 0101285373) 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 1609038272.
Physician's Profile
| Full Name | Mark Ahlman |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 1215 Lee St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609038272
- Provider Enumeration Date: 06/25/2008
- Last Update Date: 07/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002286960
- Enrollment ID: I20230110002760
Medical Identifiers
Medical identifiers for Mark Ahlman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609038272 | NPI | - | NPPES |
| 8495 | Other | GA | AMERICAN BOARD OF NUCLEAR MEDICINE, INC. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | LL31029 (South Carolina) | Secondary |
| 207U00000X | Nuclear Medicine | 93832 (Georgia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101285373 (Virginia) | Secondary |
| 207U00000X | Nuclear Medicine | 0101285373 (Virginia) | 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 Ahlman allows following entities to bill medicare on his behalf.
| Entity Name | Au Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188 |
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| Entity Name | Wellstar Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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| Entity Name | Au Health Imaging, Llc |
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| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
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| Entity Identifiers | NPI Number: 1487285193
PECOS PAC ID: 4688094105
Enrollment ID: O20201021001583 |
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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. Mark Ahlman 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 Ahlman, MD
Po Box 749112,
Atlanta, GA 30374-9112
Ph: (434) 295-1000 | Mark Ahlman, MD
1215 Lee St,
Charlottesville, VA 22908-9104
Ph: (434) 924-9400 |
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