Mark Wells Kemp, DO in South Haven, MI - Medicare Internal Medicine

Mark Wells Kemp, DO is a medicare enrolled "Internal Medicine" physician in South Haven, Michigan. His current practice location is 955 S Bailey Ave Ste 200, South Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 639-2777.

Mark Wells Kemp is licensed to practice in Michigan (license number 5101010415) 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 1053365064.

Contact Information

	Mark Wells Kemp, DO
	955 S Bailey Ave Ste 200, South Haven, MI 49090-6743
	(269) 639-2777
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Wells Kemp
Gender	Male
Speciality	Internal Medicine
Location	955 S Bailey Ave Ste 200, South Haven, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053365064
Provider Enumeration Date: 05/22/2006
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 1052316593
Enrollment ID: I20060915000505

Medical Identifiers

Medical identifiers for Mark Wells Kemp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053365064	NPI	-	NPPES
4878533	Medicaid	MI
3409754	Medicaid	MI
4183150	Medicaid	MI
3381662	Medicaid	MI
4877859	Medicaid	MI
3494728	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5101010415 (Michigan)	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 Wells Kemp allows following entities to bill medicare on his behalf.

Entity Name	State Of Michigan Office Of Financial Management
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603

Entity Name	Bronson South Haven Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005

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 Wells Kemp 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 Wells Kemp, DO 601 John Street, Box 42, Kalamazoo, MI 49007 Ph: () -	Mark Wells Kemp, DO 955 S Bailey Ave Ste 200, South Haven, MI 49090-6743 Ph: (269) 639-2777

Reviews and Comments

Internal Medicine Doctors in South Haven, MI

Bradley D Bastow, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Blue Star Hwy, Suite 1-2, South Haven, MI 49090 Phone: 269-637-1388 Fax: 269-637-1459
Sue Killion Cammarata, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Clinton St, South Haven, MI 49090 Phone: 269-637-2001
Lori Jean Dotson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 965 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2833 Fax: 269-639-2776
Dr. Ramon E Urrea, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 965 S Bailey Ave, Suite 1-4, South Haven, MI 49090 Phone: 269-639-2777 Fax: 269-639-2776

Mark Wells Kemp, DO - Medicare Internal Medicine in South Haven, MI