Mark B Kingston Jr, MD is a medicare enrolled "General Practice" physician in Louisa, Kentucky. His current practice location is
203 S Water St, Louisa, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 638-4504.
Mark B Kingston Jr is licensed to practice in Kentucky (license number 20555) 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 1942296405.
Physician's Profile
Full Name | Mark B Kingston Jr |
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Gender | Male |
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Speciality | General Practice |
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Location | 203 S Water St, Louisa, Kentucky |
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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: 1942296405
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 11/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 3476547787
- Enrollment ID: I20040410000136
Medical Identifiers
Medical identifiers for Mark B Kingston Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942296405 | NPI | - | NPPES |
64205552 | Medicaid | KY | |
0049452000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 20555 (Kentucky) | 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 B Kingston Jr allows following entities to bill medicare on his behalf.
Entity Name | Yatesville Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053946970 PECOS PAC ID: 1355762485 Enrollment ID: O20200528001097 |
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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 B Kingston Jr 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 B Kingston Jr, MD 203 S Water St, Po Box 120, Louisa, KY 41230-1387 Ph: (606) 638-4504 | Mark B Kingston Jr, MD 203 S Water St, Louisa, KY 41230-1387 Ph: (606) 638-4504 |
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