Mr Mark Edwin Lightowler Ii, PA-C - Medicare Physician Assistant in Bridgeport, CT

Mr Mark Edwin Lightowler Ii, PA-C is a medicare enrolled "Physician Assistant" in Bridgeport, Connecticut. His current practice location is 2800 Main St Dept Of, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 392-3600.

Mr Mark Edwin Lightowler Ii is licensed to practice in Massachusetts (license number ) 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 1376000869.

Contact Information

Mr Mark Edwin Lightowler Ii, PA-C
2800 Main St Dept Of,
Bridgeport, CT 06606-4201
(203) 392-3600
Not Available



Provider's Profile

Full NameMr Mark Edwin Lightowler Ii
GenderMale
SpecialityPhysician Assistant
Location2800 Main St Dept Of, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376000869
  • Provider Enumeration Date: 02/21/2019
  • Last Update Date: 01/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739422379
  • Enrollment ID: I20220711000271

Medical Identifiers

Medical identifiers for Mr Mark Edwin Lightowler Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376000869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Massachusetts)Primary

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. Mr Mark Edwin Lightowler Ii 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
Mr Mark Edwin Lightowler Ii, PA-C
2800 Main St Dept Of,
Bridgeport, CT 06606-4201

Ph: (203) 362-3900
Mr Mark Edwin Lightowler Ii, PA-C
2800 Main St Dept Of,
Bridgeport, CT 06606-4201

Ph: (203) 392-3600

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› Verified 1 days ago


Physician Assistant Nurses in Bridgeport, CT

Mr. Alex Scott Cadan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-4500    Fax: 203-384-3812
Daniel Paoletti, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Main St, Bridgeport, CT 06606
Phone: 203-576-6000    
Ms. Katie Lynn Merithew, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3199    
Alan Olson,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3000    
Margaret Parisi, PA-S
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2800 Main St, Bridgeport, CT 06606
Phone: 203-576-6000    
Mr. Michael Asare, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3000    
Brent M Reilly, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Main St, St.vincents Multispecialty Group, Bridgeport, CT 06606
Phone: 203-576-6000    

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