Mark Wathen, MD - Medicare Cardiac Electrophysiology in Cookeville, TN

Mark Wathen, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Cookeville, Tennessee. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1984 and has 40 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Crmc Mso Sub 1 Incorporated and his current practice location is 228 W 4th St, Suite 200, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 372-0405.

Mark Wathen is licensed to practice in Tennessee (license number 23921) 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 1104925536.

Contact Information

Mark Wathen, MD
228 W 4th St, Suite 200,
Cookeville, TN 38501-2488
(931) 372-0405
(931) 372-0463



Physician's Profile

Full NameMark Wathen
GenderMale
SpecialityCardiac Electrophysiology
Experience40 Years
Location228 W 4th St, Cookeville, Tennessee
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:
  • Mark Wathen attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1984
  NPI Data:
  • NPI Number: 1104925536
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426032608
  • Enrollment ID: I20040615001483

Medical Identifiers

Medical identifiers for Mark Wathen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104925536NPI-NPPES
4288686OtherTNBCBS
1509597MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 23921 (Tennessee)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 23921 (Tennessee)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 23921 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cookeville Regional Medical CenterCookeville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crmc Mso Sub 1 Incorporated105233283024

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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. Mark Wathen allows following entities to bill medicare on his behalf.
Entity NameCrmc Mso Sub 1 Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972648319
PECOS PAC ID: 1052332830
Enrollment ID: O20051208000043

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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 Wathen 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 Wathen, MD
228 W 4th St, Suite 200,
Cookeville, TN 38501-2488

Ph: (931) 372-0405
Mark Wathen, MD
228 W 4th St, Suite 200,
Cookeville, TN 38501-2488

Ph: (931) 372-0405

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Internal Medicine Doctors in Cookeville, TN

Scott F Reising, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 228 W. 4th Street, Suite 200, Cookeville, TN 38501
Phone: 931-372-0405    Fax: 931-372-0463
Stacy David Brewington, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 228 W. 4th Street, Suite 200, Cookeville, TN 38501
Phone: 931-372-0405    Fax: 931-372-0463
Mark Arden Pierce, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 145 W 4th St, Suite 201, Cookeville, TN 38501
Phone: 931-783-2902    Fax: 931-783-2219
Michael Blaine Lenhart, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 228 West 4th St, Suite 200, Cookeville, TN 38501
Phone: 931-372-0405    Fax: 931-372-0463
Dr. Toney Britton Hudson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 N Washington Ave, Ste 165, Cookeville, TN 38501
Phone: 931-526-1604    Fax: 931-526-7378
James Chike Ezi-ashi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 438 N Whitney Ave, Cookeville, TN 38501
Phone: 931-783-2616    Fax: 931-783-2610
Dr. Brian Keith Dockery, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 228 W 4th St, Suite 200, Cookeville, TN 38501
Phone: 931-372-0405    Fax: 931-372-0463

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