Dr Mark David Pell, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Union, Kentucky. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Summit Medical Group Inc and his current practice location is
605 Man O War Blvd, Union, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 212-0175.
Dr Mark David Pell is licensed to practice in Kentucky (license number 243972) 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 1639433261.
Healthcare Provider's Profile
| Full Name | Dr Mark David Pell |
|---|
| Gender | Male |
|---|
| Speciality | Podiatry |
|---|
| Experience | 16 Years |
|---|
| Location | 605 Man O War Blvd, Union, Kentucky |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Mark David Pell graduated from medical school in 2010
NPI Data:
- NPI Number: 1639433261
- Provider Enumeration Date: 06/28/2012
- Last Update Date: 10/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 5193031912
- Enrollment ID: I20200113000193
Medical Identifiers
Medical identifiers for Dr Mark David Pell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639433261 | NPI | - | NPPES |
| 7100640210 | Medicaid | KY | |
| 0382069 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006335 (Pennsylvania) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 243972 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group Inc | 2163326240 | 803 |
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. Dr Mark David Pell allows following entities to bill medicare on his behalf.
| Provider Name | Summit Medical Group Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1750343216
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
|---|
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. Dr Mark David Pell 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 |
|---|
Dr Mark David Pell, DPM
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 212-0175 | Dr Mark David Pell, DPM
605 Man O War Blvd,
Union, KY 41091-2017
Ph: (859) 212-0175 |
Reviews and Comments