Mark Edward Van Wormer, MD is a medicare enrolled "General Practice" physician in Clayton, New Mexico. He graduated from medical school in 1980 and has 46 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Clayton Health Systems Inc and his current practice location is
314 N 3rd Ave, Clayton, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 374-8313.
Mark Edward Van Wormer is licensed to practice in New Mexico (license number 81333) 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 1013919034.
Physician's Profile
| Full Name | Mark Edward Van Wormer |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 46 Years |
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| Location | 314 N 3rd Ave, Clayton, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Edward Van Wormer graduated from medical school in 1980
NPI Data:
- NPI Number: 1013919034
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 07/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 4183785041
- Enrollment ID: I20081210000801
Medical Identifiers
Medical identifiers for Mark Edward Van Wormer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013919034 | NPI | - | NPPES |
| 060000475 | Other | | RAILROAD MEDICARE |
| 05645 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 81333 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clayton Health Systems Inc | 0941195895 | 4 |
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 Edward Van Wormer 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 Edward Van Wormer, MD
314 N 3rd Ave,
Clayton, NM 88415-3302
Ph: (575) 374-8313 | Mark Edward Van Wormer, MD
314 N 3rd Ave,
Clayton, NM 88415-3302
Ph: (575) 374-8313 |
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