Mark D Antenucci Dpm Pc - Medicare Podiatrist in Roswell, NM

Mark D Antenucci Dpm Pc is a medicare enrolled "Podiatrist" provider in Roswell, New Mexico. Their current practice location is 313 W Country Club Rd, Suite 7, Roswell, New Mexico. You can reach out to their office (for appointments etc.) via phone at (575) 624-2398.

Mark D Antenucci Dpm Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mark D Antenucci Dpm Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1548624372.

Contact Information

Mark D Antenucci Dpm Pc
313 W Country Club Rd, Suite 7,
Roswell, NM 88201-5804
(575) 624-2398
(575) 624-0655



Healthcare Provider's Profile

Full NameMark D Antenucci Dpm Pc
TypeFacility
SpecialityPodiatrist
Location313 W Country Club Rd, Roswell, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548624372
  • Provider Enumeration Date: 04/07/2016
  • Last Update Date: 04/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1254639982
  • Enrollment ID: O20160414000022

Medical Identifiers

Medical identifiers for Mark D Antenucci Dpm Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548624372NPI-NPPES
55657MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mark D Antenucci Dpm Pc acts as a billing entity for following providers:
Provider NameMark D Antenucci
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1760490759
PECOS PAC ID: 0446254346
Enrollment ID: I20061010000738

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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 D Antenucci Dpm Pc 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 D Antenucci Dpm Pc
313 W Country Club Rd, Suite 7,
Roswell, NM 88201-5804

Ph: (575) 624-2398
Mark D Antenucci Dpm Pc
313 W Country Club Rd, Suite 7,
Roswell, NM 88201-5804

Ph: (575) 624-2398

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Podiatrist in Roswell, NM

Jeffrey Ash, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 300 W Country Club Rd Ste 130, Roswell, NM 88201
Phone: 575-625-2669    Fax: 575-625-1296
Dr. Mark David Antenucci, D.P.M
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 313 West Country Club Rd., Ste. 7, Roswell, NM 88201
Phone: 575-624-2398    Fax: 575-624-0655

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