Mark Douglas Fox, MD - Medicare Preventive Medicine in South Bend, IN

Mark Douglas Fox, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in South Bend, Indiana. His current practice location is 1234 N Notre Dame Ave, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 631-1337.

Mark Douglas Fox is licensed to practice in Indiana (license number 01075847A) 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 1447220843.

Contact Information

Mark Douglas Fox, MD
1234 N Notre Dame Ave,
South Bend, IN 46617-1404
(574) 631-1337
(574) 631-8932

Map and Direction




Physician's Profile

Full NameMark Douglas Fox
GenderMale
SpecialityPreventive Medicine - Public Health & General Preventive Medicine
Location1234 N Notre Dame Ave, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447220843
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 10/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3779484084
  • Enrollment ID: I20040120000144

Medical Identifiers

Medical identifiers for Mark Douglas Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447220843NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 23209 (Oklahoma)Secondary
207R00000XInternal Medicine 01075847A (Indiana)Secondary
208000000XPediatrics 23209 (Oklahoma)Secondary
208000000XPediatrics 01075847A (Indiana)Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 01075847A (Indiana)Primary

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 Douglas Fox 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 AddressPractice Location Address
Mark Douglas Fox, MD
1234 N Notre Dame Ave,
South Bend, IN 46617-1404

Ph: (574) 631-1337
Mark Douglas Fox, MD
1234 N Notre Dame Ave,
South Bend, IN 46617-1404

Ph: (574) 631-1337

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.