Mr Mark Tabaka, PA-C - Medicare Physician Assistant in Bristol, CT

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Mr Mark Tabaka, PA-C is a medicare enrolled "Physician Assistant - Medical" in Bristol, Connecticut. He graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Yale University, Urgent Care Medical Associates, Llc and his current practice location is 576 Farmington Ave, Bristol, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 585-3000.

Mr Mark Tabaka is licensed to practice in Connecticut (license number 1803) 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 1457353005.

Contact Information

Mr Mark Tabaka, PA-C
576 Farmington Ave,
Bristol, CT 06010-3933
(860) 585-3000
Not Available

Map and Direction




Provider's Profile

Full NameMr Mark Tabaka
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location576 Farmington Ave, Bristol, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Mark Tabaka graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1457353005
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 11/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1759388945
  • Enrollment ID: I20061101000035

Medical Identifiers

Medical identifiers for Mr Mark Tabaka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457353005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 1803 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yale-new Haven HospitalNew haven, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yale University94360617362632
Urgent Care Medical Associates, Llc7214107515113

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 Tabaka allows following entities to bill medicare on his behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015
Entity NameMidstate Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154425288
PECOS PAC ID: 7416840699
Enrollment ID: O20040203000244
Entity NameUrgent Care Medical Associates, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730479254
PECOS PAC ID: 7214107515
Enrollment ID: O20111018000344
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322

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 Tabaka 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 AddressPractice Location Address
Mr Mark Tabaka, PA-C
11 Arkona Dr,
Higganum, CT 06441-4479

Ph: (860) 554-5021		Mr Mark Tabaka, PA-C
576 Farmington Ave,
Bristol, CT 06010-3933

Ph: (860) 585-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.