Mark D Deboer, MD - Medicare Pediatrics in Charlottesville, VA

Mark D Deboer, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Charlottesville, Virginia. His current practice location is 1204 W Main St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 924-0123.

Mark D Deboer is licensed to practice in Virginia (license number 0101232515) 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 1730100868.

Contact Information

Mark D Deboer, MD
1204 W Main St,
Charlottesville, VA 22903-2824
(434) 924-0123
(434) 243-3300



Physician's Profile

Full NameMark D Deboer
GenderMale
SpecialityPediatrics - Pediatric Endocrinology
Location1204 W Main St, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730100868
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294835120
  • Enrollment ID: I20070706000571

Medical Identifiers

Medical identifiers for Mark D Deboer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730100868NPI-NPPES
1730100868MedicaidVA
232445MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology 0101232515 (Virginia)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. Mark D Deboer allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

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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. Mark D Deboer 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
Mark D Deboer, MD
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -
Mark D Deboer, MD
1204 W Main St,
Charlottesville, VA 22903-2824

Ph: (434) 924-0123

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Pediatrics Doctors in Charlottesville, VA

Mr. Michael Douglas Dickens, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902
Phone: 434-296-9161    Fax: 434-296-1036
Linda A. Waggoner Fountain, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1204 W Main St, Charlottesville, VA 22903
Phone: 434-924-0123    Fax: 434-243-3300
Marion Elizabeth Szwedo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902
Phone: 434-296-9161    Fax: 434-977-6068
Dr. Gregory Rees Sturz, DO, PHD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Box 800501, Charlottesville, VA 22908
Phone: 494-942-5321    Fax: 434-982-3816
Anne C Butz, LCSW
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1204 W Main St, Charlottesville, VA 22903
Phone: 434-924-5321    Fax: 434-244-4412
Jessica C Di Zio, PNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-1761    Fax: 434-982-3561
Brooke D. Vergales, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2335    Fax: 434-982-0796

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