Mr Mark L Dillingham, PA is a medicare enrolled "Physician Assistant" in Kilgore, Texas. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mt Enterprise Community Health Clinic and his current practice location is
1711 S Henderson Blvd, Suite 100, Kilgore, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 315-3800.
Mr Mark L Dillingham is licensed to practice in Texas (license number PA01791) 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 1568495448.
Provider's Profile
| Full Name | Mr Mark L Dillingham |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 1711 S Henderson Blvd, Kilgore, Texas |
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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 L Dillingham graduated from nursing school in 2008
NPI Data:
- NPI Number: 1568495448
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 06/19/2013
Medicare PECOS Information:
- PECOS PAC ID: 0042216913
- Enrollment ID: I20061017000283
Medical Identifiers
Medical identifiers for Mr Mark L Dillingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568495448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA01791 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mt Enterprise Community Health Clinic | 2860303922 | 10 |
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 L Dillingham 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 L Dillingham, PA
Po Box 4207,
Longview, TX 75606-4207
Ph: () - | Mr Mark L Dillingham, PA
1711 S Henderson Blvd, Suite 100,
Kilgore, TX 75662-3563
Ph: (903) 315-3800 |
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