Mark Boonyasampant, MD in Fullerton, CA

Mark Boonyasampant, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fullerton, California. He went to New York Medical College and graduated in 2011 and has 14 years of diverse experience with area of expertise as Pathology. He is a member of the group practice The Pathology Group Inc and his current practice location is 101 E Valencia Mesa Dr, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (510) 388-7271.

Mark Boonyasampant is licensed to practice in California (license number A126158) 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 1396037537.

Contact Information

	Mark Boonyasampant, MD
	101 E Valencia Mesa Dr, Fullerton, CA 92835-3809
	(510) 388-7271
	(714) 446-7546

Map and Direction

Physician's Profile

Full Name	Mark Boonyasampant
Gender	Male
Speciality	Pathology
Experience	14 Years
Location	101 E Valencia Mesa Dr, Fullerton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Boonyasampant attended and graduated from New York Medical College in 2011

NPI Data:

NPI Number: 1396037537
Provider Enumeration Date: 05/06/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8123392883
Enrollment ID: I20170919000867

Medical Identifiers

Medical identifiers for Mark Boonyasampant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396037537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	A126158 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Pathology Group Inc	5698839637	4

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 Boonyasampant allows following entities to bill medicare on his behalf.

Entity Name	The Pathology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316196892 PECOS PAC ID: 5698839637 Enrollment ID: O20090205000474

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 Boonyasampant 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 Boonyasampant, MD 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 Ph: (510) 388-7271	Mark Boonyasampant, MD 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 Ph: (510) 388-7271

Reviews and Comments

Pathology Doctors in Fullerton, CA

Howard Friedberg, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr., Fullerton, CA 92635 Phone: 714-992-3712 Fax: 714-992-3055
Shirin M. Farahmand, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Dr., Fullerton, CA 92635 Phone: 714-992-3148 Fax: 714-992-3055
Cynthia N. Miller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Drive, Fullerton, CA 92635 Phone: 714-992-3760 Fax: 714-992-3055
John R. Craig, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valenica Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3757 Fax: 714-992-3055
Patrick L. Fitzgibbons, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-446-7505 Fax: 714-446-7546
Jay Packer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Drive, Pathology Dept, Fullerton, CA 92835 Phone: 714-992-3907 Fax: 714-992-3055

Mark Boonyasampant, MD - Medicare Pathology in Fullerton, CA