Mark R Krakovitz, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Williston, North Dakota. His current practice location is
1301 15th Ave. W., Williston, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 774-7435.
Mark R Krakovitz is licensed to practice in North Dakota (license number 12550) 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 1922046242.
Physician's Profile
| Full Name | Mark R Krakovitz |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1301 15th Ave. W., Williston, North Dakota |
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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: 1922046242
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 11/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 4183511611
- Enrollment ID: I20040301000622
Medical Identifiers
Medical identifiers for Mark R Krakovitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922046242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | MD033369E (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA05265300 (New Jersey) | Secondary |
| 207U00000X | Nuclear Medicine | MD033369E (Pennsylvania) | Secondary |
| 207U00000X | Nuclear Medicine | 25MA05265300 (New Jersey) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 12550 (North Dakota) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME112875 (Florida) | Secondary |
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 Krakovitz allows following entities to bill medicare on his behalf.
| Entity Name | Trumbull Radiologists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144279613
PECOS PAC ID: 1951393057
Enrollment ID: O20220531000142 |
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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 Krakovitz 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 |
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Mark R Krakovitz, MD
3265 Nw 87th Ave.,
Miami, FL 33172
Ph: (952) 595-1301 | Mark R Krakovitz, MD
1301 15th Ave. W.,
Williston, ND 58801-3821
Ph: (701) 774-7435 |
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