Mark Fouts, - Medicare Anesthesiology Assistant in Kennesaw, GA

Mark Fouts, is a medicare enrolled "Anesthesiologist Assistant" in Kennesaw, Georgia. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Mak Anesthesia Holdings, Llc, Wellstar Medical Group, Llc and his current practice location is 1621 N Roberts Rd Nw Ste 110, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 702-1806.

Mark Fouts is licensed to practice in Georgia (license number 008183) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1992257943.

Contact Information

Mark Fouts,
1621 N Roberts Rd Nw Ste 110,
Kennesaw, GA 30144-3640
(770) 702-1806
Not Available



Provider's Profile

Full NameMark Fouts
GenderMale
SpecialityAnesthesiology Assistant
Experience8 Years
Location1621 N Roberts Rd Nw Ste 110, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Fouts graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1992257943
  • Provider Enumeration Date: 10/25/2016
  • Last Update Date: 10/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9537446034
  • Enrollment ID: I20170511000410

Medical Identifiers

Medical identifiers for Mark Fouts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992257943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 008183 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Paulding HospitalHiram, GAHospital
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mak Anesthesia Holdings, Llc4284917204167
Wellstar Medical Group, Llc67090654021839

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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 Fouts allows following entities to bill medicare on his behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563

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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 Fouts 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 Fouts,
1621 N Roberts Rd Nw Ste 110,
Kennesaw, GA 30144-3640

Ph: () -
Mark Fouts,
1621 N Roberts Rd Nw Ste 110,
Kennesaw, GA 30144-3640

Ph: (770) 702-1806

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Anesthesiologist Assistant Nurses in Kennesaw, GA

Tiffany L. Artman, PAAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1640 Airport Rd Nw, Ste110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 678-290-0479
Donald Macneill, PAAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Charles Luther,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4295 Country Garden Walk Nw, Kennesaw, GA 30152
Phone: 401-301-7218    
Kaeli Surilla Dailey,
Anesthesiologist Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 770-702-1806    
Gary P Jones, PAAA
Anesthesiologist Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    
Brian West, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1300 Ridenour Blvd Nw, Kennesaw, GA 30152
Phone: 770-702-1806    

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