Mark Douglas Ravenscraft, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Town And Country, Missouri. His current practice location is
1753 Stifel Lane Dr, Town And Country, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 439-5113.
Mark Douglas Ravenscraft is licensed to practice in Missouri (license number R4F85) 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 1669571238.
Physician's Profile
| Full Name | Mark Douglas Ravenscraft |
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| Gender | Male |
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| Speciality | Internal Medicine - Nephrology |
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| Location | 1753 Stifel Lane Dr, Town And Country, Missouri |
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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: 1669571238
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 10/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234029455
- Enrollment ID: I20100803001275
Medical Identifiers
Medical identifiers for Mark Douglas Ravenscraft such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669571238 | NPI | - | NPPES |
| 110198407 | Other | MO | RAILROAD MEDICARE |
| 202897500 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RN0300X | Internal Medicine - Nephrology | R4F85 (Missouri) | 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 Douglas Ravenscraft allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Nephrology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194135632 PECOS PAC ID: 8921327115 Enrollment ID: O20150511001530 |
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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 Douglas Ravenscraft 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 Douglas Ravenscraft, MD 1753 Stifel Lane Dr, Town And Country, MO 63017-8048 Ph: (314) 439-5113 | Mark Douglas Ravenscraft, MD 1753 Stifel Lane Dr, Town And Country, MO 63017-8048 Ph: (314) 439-5113 |
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