Dr Mark Jon Quitadamo, MD in Lebanon, NH - Medicare Dermatology

Dr Mark Jon Quitadamo, MD is a medicare enrolled "Dermatology" physician in Lebanon, New Hampshire. His current practice location is 18 Old Etna Rd, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 308-1472.

Dr Mark Jon Quitadamo is licensed to practice in New Hampshire (license number 8595) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891731022.

Contact Information

	Dr Mark Jon Quitadamo, MD
	18 Old Etna Rd, Lebanon, NH 03766-1937
	(603) 308-1472
	Not Available

Physician's Profile

Full Name	Dr Mark Jon Quitadamo
Gender	Male
Speciality	Dermatology
Location	18 Old Etna Rd, Lebanon, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891731022
Provider Enumeration Date: 06/22/2006
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3476571613
Enrollment ID: I20051107000664

Medical Identifiers

Medical identifiers for Dr Mark Jon Quitadamo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891731022	NPI	-	NPPES
30004810	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	8595 (New Hampshire)	Primary

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 Jon Quitadamo allows following entities to bill medicare on his behalf.

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386697803 PECOS PAC ID: 4183537509 Enrollment ID: O20031111000313

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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. Dr Mark Jon Quitadamo 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 Jon Quitadamo, MD Po Box 810, Hanover, NH 03755-0810 Ph: (603) 308-1472	Dr Mark Jon Quitadamo, MD 18 Old Etna Rd, Lebanon, NH 03766-1937 Ph: (603) 308-1472

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Dermatology Doctors in Lebanon, NH

Dr. Brian Simmons, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-3100 Fax: 904-639-2015
Jeffrey K Shornick, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 18 Old Etna Rd, Dhmc - Dermatology, Lebanon, NH 03766 Phone: 603-650-3100
Dr. Joi B Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dermatology, Lebanon, NH 03756 Phone: 603-650-3100
Jonathan Saul Glass, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc - Dept Of Dermatology, Lebanon, NH 03756 Phone: 603-650-7328
Manuel Iriondo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-3100
Dr. Kathryn Anne Zug, MD Dermatology Medicare: Medicare Enrolled Practice Location: 18 Old Etna Rd, Dh Dermatology, Lebanon, NH 03766 Phone: 603-650-3100 Fax: 603-650-3174
Emily E Shaughnessy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Dermatology, Lebanon, NH 03766 Phone: 603-650-3100

Dr Mark Jon Quitadamo, MD - Medicare Dermatology in Lebanon, NH

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Dermatology Doctors in Lebanon, NH