Mark R Doman, MD is a medicare enrolled "Internal Medicine" physician in Bulls Gap, Tennessee. His current practice location is
260 Highway 11 E, Bulls Gap, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 235-4191.
Mark R Doman is licensed to practice in Tennessee (license number 21947) 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 1013913391.
Physician's Profile
| Full Name | Mark R Doman |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 260 Highway 11 E, Bulls Gap, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013913391
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 08/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 0143280834
- Enrollment ID: I20041018000114
Medical Identifiers
Medical identifiers for Mark R Doman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013913391 | NPI | - | NPPES |
| 3094672 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 21947 (Tennessee) | 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 R Doman allows following entities to bill medicare on his behalf.
| Entity Name | Rural Health Services Consortium Of Upper East Tennessee Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770583544
PECOS PAC ID: 0941118111
Enrollment ID: O20031107000207 |
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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 R Doman 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 R Doman, MD
Po Box 850,
Rogersville, TN 37857-0850
Ph: (423) 235-4191 | Mark R Doman, MD
260 Highway 11 E,
Bulls Gap, TN 37711-3416
Ph: (423) 235-4191 |
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