Mark Tatum, CAA - Medicare Anesthesiology Assistant in Canton, OH

Mark Tatum, CAA is a medicare enrolled "Anesthesiologist Assistant" in Canton, Ohio. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice University Primary Care Practices Inc and his current practice location is 1320 Mercy Dr Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 489-1000.

Mark Tatum is licensed to practice in * (Not Available) (license number ) 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 1396389755.

Contact Information

Mark Tatum, CAA
1320 Mercy Dr Nw,
Canton, OH 44708-2641
(330) 489-1000
Not Available



Provider's Profile

Full NameMark Tatum
GenderMale
SpecialityAnesthesiology Assistant
Experience5 Years
Location1320 Mercy Dr Nw, Canton, Ohio
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 Tatum graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1396389755
  • Provider Enumeration Date: 10/29/2019
  • Last Update Date: 03/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698108256
  • Enrollment ID: I20191212001243

Medical Identifiers

Medical identifiers for Mark Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396389755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospitals Ahuja Medical CenterBeachwood, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Primary Care Practices Inc3072417534954

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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 Tatum allows following entities to bill medicare on his behalf.
Entity NameUniversity Primary Care Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767

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Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301

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Entity NameOhio Anesthesia Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639348113
PECOS PAC ID: 9537222138
Enrollment ID: O20090108000069

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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 Tatum 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 Tatum, CAA
354 W Mohawk Dr,
Malvern, OH 44644-9627

Ph: (724) 601-1720
Mark Tatum, CAA
1320 Mercy Dr Nw,
Canton, OH 44708-2641

Ph: (330) 489-1000

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Anesthesiologist Assistant Nurses in Canton, OH

Jenna Staikoff, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-489-1000    
Jonathan S Eberlein, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 4665 Douglas Cir Nw Ste 100, Canton, OH 44718
Phone: 330-499-5700    
Colleen R Robson, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-489-1111    
Olesya Rabosyuk, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-498-1000    
Benjamin W. Falkenberg, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718
Phone: 330-656-3100    
Mrs. Leeann Jensen, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-489-1000    

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