Mr Mark A Basham, MD is a medicare enrolled "Family Medicine" physician in Eureka, Kansas. He went to University Of Nebraska College Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Greenwood County Hospital and his current practice location is
110 E 16th St, Eureka, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 583-7451.
Mr Mark A Basham is licensed to practice in Kansas (license number 0428069) 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 1255326443.
Physician's Profile
| Full Name | Mr Mark A Basham |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 29 Years |
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| Location | 110 E 16th St, Eureka, Kansas |
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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. |
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Medical Education and Training:
- Mr Mark A Basham attended and graduated from University Of Nebraska College Of Medicine in 1997
NPI Data:
- NPI Number: 1255326443
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 11/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658327861
- Enrollment ID: I20061219000067
Medical Identifiers
Medical identifiers for Mr Mark A Basham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255326443 | NPI | - | NPPES |
| 100362190B | Medicaid | KS | |
| 100428860A | Other | | GROUP MEDICAID |
| 178960 | Other | | RURAL HEALTH MEDICARE |
| 640311 | Other | | F. GUARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0428069 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Greenwood County Hospital | 0042129603 | 13 |
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. Mr Mark A Basham allows following entities to bill medicare on his behalf.
| Entity Name | Greenwood County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629044961
PECOS PAC ID: 0042129603
Enrollment ID: O20040920000432 |
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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. Mr Mark A Basham 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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Mr Mark A Basham, MD
110 E 16th St,
Eureka, KS 67045-1067
Ph: (620) 583-7451 | Mr Mark A Basham, MD
110 E 16th St,
Eureka, KS 67045-1067
Ph: (620) 583-7451 |
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