Mark Marcello, LMT is a
Occupational Therapy Assistant based in Carpentersville, Illinois. Mark Marcello is licensed to practice in Illinois (license number 057.001111) and his current practice location is
143 Old Farm Ln, Carpentersville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 224-5108.
NPI number for Mark Marcello is 1548400179 and his current mailing address is 143 Old Farm Ln, Carpentersville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548400179.
Healthcare Provider's Profile
| Full Name | Mark Marcello |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapy Assistant |
|---|
| Location | 143 Old Farm Ln, Carpentersville, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548400179
- Provider Enumeration Date: 02/22/2009
- Last Update Date: 03/02/2018
Medical Identifiers
Medical identifiers for Mark Marcello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548400179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 227.009599 (Illinois) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | 057.001111 (Illinois) | Primary |
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 Marcello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Marcello, LMT
143 Old Farm Ln,
Carpentersville, IL 60110-1461
Ph: (847) 224-5108 | Mark Marcello, LMT
143 Old Farm Ln,
Carpentersville, IL 60110-1461
Ph: (847) 224-5108 |
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