Kristina Rae Vander Mark, MD - Medicare Obstetrics/gynecology in Southfield, MI

Kristina Rae Vander Mark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Southfield, Michigan. She went to Wayne State University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ascension Providence Hospital and her current practice location is 22255 Greenfield Rd Ste 352, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 849-3401.

Kristina Rae Vander Mark is licensed to practice in Michigan (license number 4301076692) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366538860.

Contact Information

Kristina Rae Vander Mark, MD
22255 Greenfield Rd Ste 352,
Southfield, MI 48075-3712
(248) 849-3401
(248) 849-4106



Physician's Profile

Full NameKristina Rae Vander Mark
GenderFemale
SpecialityObstetrics/gynecology
Experience24 Years
Location22255 Greenfield Rd Ste 352, Southfield, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristina Rae Vander Mark attended and graduated from Wayne State University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1366538860
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789644279
  • Enrollment ID: I20041019000489

Medical Identifiers

Medical identifiers for Kristina Rae Vander Mark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366538860NPI-NPPES
4789630MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 4301076692 (Michigan)Secondary
207VX0000XObstetrics & Gynecology - Obstetrics 4301076692 (Michigan)Secondary
207V00000XObstetrics & Gynecology 4301076692 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Providence Hospital6103738703181

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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. Kristina Rae Vander Mark allows following entities to bill medicare on her behalf.
Entity NameAscension Providence Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942265236
PECOS PAC ID: 6103738703
Enrollment ID: O20031103000326

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Entity NameMercy Health Partners - Physician Specialist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922248772
PECOS PAC ID: 2163572991
Enrollment ID: O20090616000615

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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. Kristina Rae Vander Mark 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
Kristina Rae Vander Mark, MD
22255 Greenfield Rd Ste 352,
Southfield, MI 48075-3712

Ph: (248) 849-3401
Kristina Rae Vander Mark, MD
22255 Greenfield Rd Ste 352,
Southfield, MI 48075-3712

Ph: (248) 849-3401

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Obstetrics & Gynecology Doctors in Southfield, MI

Dr. Lameitre Camille Lockhart, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-3014    
Sherri Lynn Graf, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 29877 Telegraph Road, Suite 304, Southfield, MI 48034
Phone: 248-223-9202    Fax: 248-223-9302
Dr. David B Cotton, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 17515 W 9 Mile Rd, Suite 500, Southfield, MI 48075
Phone: 248-557-3700    
Hannah Lee Bacheller, MD, MS
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 22255 Greenfield Rd Ste 352, Southfield, MI 48075
Phone: 248-849-4106    Fax: 248-849-4106
David Stone, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 27209 Lahser, #220, Southfield, MI 48034
Phone: 248-603-4240    Fax: 248-603-4249
Rachel Loken, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 22255 Greenfield Rd Ste 352, Southfield, MI 48075
Phone: 248-849-3401    Fax: 248-849-4106
Vinay Kumar Malviya, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 29877 Telegraph Rd Ste 304, Southfield, MI 48034
Phone: 248-277-5094    Fax: 248-513-4882

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