Mark Mittelman, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Clyde, North Carolina. He went to University Of Cincinnati College Of Medicine and graduated in 1989 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Dlp Western Carolina Physician Practices Llc and his current practice location is
262 Leroy George Dr, Ste X, Clyde, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 452-8346.
Mark Mittelman is licensed to practice in North Carolina (license number 200300668) 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 1255338026.
Physician's Profile
| Full Name | Mark Mittelman |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 36 Years |
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| Location | 262 Leroy George Dr, Clyde, North Carolina |
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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. |
Medical Education and Training:
- Mark Mittelman attended and graduated from University Of Cincinnati College Of Medicine in 1989
NPI Data:
- NPI Number: 1255338026
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234279928
- Enrollment ID: I20100824000363
Medical Identifiers
Medical identifiers for Mark Mittelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255338026 | NPI | - | NPPES |
| 89134MR | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 200300668 (North Carolina) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 200300668 (North Carolina) | Primary |
| 174400000X | Specialist | 200300668 (North Carolina) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dlp Western Carolina Physician Practices Llc | 9032338975 | 148 |
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 Mittelman allows following entities to bill medicare on his behalf.
| Entity Name | Dlp Western Carolina Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
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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 Mittelman 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 Mittelman, MD 5220 Greens Dairy Rd, Raleigh, NC 27616-4612 Ph: (919) 256-3576 | Mark Mittelman, MD 262 Leroy George Dr, Ste X, Clyde, NC 28721-7430 Ph: (828) 452-8346 |
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