Dr Mark Carroll Guerdan, DO - Medicare Anesthesiology in Riverdale, GA

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Dr Mark Carroll Guerdan, DO is a medicare enrolled "Anesthesiology" in Riverdale, Georgia. His current practice location is 6525 Professional Pl, Suite B, Riverdale, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 254-5496.

Dr Mark Carroll Guerdan is licensed to practice in Georgia (license number 61081) 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 1326089574.

Contact Information

Dr Mark Carroll Guerdan, DO
6525 Professional Pl, Suite B,
Riverdale, GA 30274-2519
(404) 254-5496
(404) 254-5829



Provider's Profile

Full NameDr Mark Carroll Guerdan
GenderMale
SpecialityAnesthesiology
Location6525 Professional Pl, Riverdale, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326089574
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 07/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2264336163
  • Enrollment ID: I20090821000594

Medical Identifiers

Medical identifiers for Dr Mark Carroll Guerdan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326089574NPI-NPPES
003135346AMedicaidGA
003135345AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 31403 (Kentucky)Secondary
207L00000XAnesthesiology 62257 (New York)Secondary
207LP2900XAnesthesiology - Pain Medicine 061081 (Georgia)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 061081 (Georgia)Secondary
207L00000XAnesthesiology 61081 (Georgia)Primary
208VP0000XPain Medicine - Pain Medicine 61081 (Georgia)Secondary
207LP2900XAnesthesiology - Pain Medicine 61081 (Georgia)Secondary

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 Carroll Guerdan allows following entities to bill medicare on his behalf.
Entity NameMip Medical Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376813451
PECOS PAC ID: 2769646017
Enrollment ID: O20120618000200

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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 Carroll Guerdan 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
Dr Mark Carroll Guerdan, DO
6525 Professional Pl, Suite B,
Riverdale, GA 30274-2519

Ph: (404) 254-5496		Dr Mark Carroll Guerdan, DO
6525 Professional Pl, Suite B,
Riverdale, GA 30274-2519

Ph: (404) 254-5496

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