Mark Jeremy Rosengren, DO is a medicare enrolled "Family Medicine" physician in Holdenville, Oklahoma. His current practice location is
100 Mcdougal Dr, Holdenville, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 379-4201.
Mark Jeremy Rosengren is licensed to practice in Oklahoma (license number 8261) 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 1700040565.
Physician's Profile
| Full Name | Mark Jeremy Rosengren |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 100 Mcdougal Dr, Holdenville, Oklahoma |
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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: 1700040565
- Provider Enumeration Date: 07/10/2008
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305079062
- Enrollment ID: I20231012001757
Medical Identifiers
Medical identifiers for Mark Jeremy Rosengren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700040565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 8261 (Oklahoma) | 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 Jeremy Rosengren allows following entities to bill medicare on his behalf.
| Entity Name | Holdenville Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140702001183 |
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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 Jeremy Rosengren 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 Jeremy Rosengren, DO 100 Mcdougal Dr, Holdenville, OK 74848-2822 Ph: (405) 379-4259 | Mark Jeremy Rosengren, DO 100 Mcdougal Dr, Holdenville, OK 74848-2822 Ph: (405) 379-4201 |
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