Provider Demographics
NPI:1427035740
Name:MEYERS, MARK E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:E
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 13059
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4021
Mailing Address - Country:US
Mailing Address - Phone:812-485-1220
Mailing Address - Fax:812-485-8544
Practice Address - Street 1:3801 BELLEMEADE AVE
Practice Address - Street 2:SUITE 200B
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0100
Practice Address - Country:US
Practice Address - Phone:812-485-3737
Practice Address - Fax:812-485-1704
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01023364A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100383390AMedicaid
IN000000245626OtherBCBS
D95046Medicare UPIN
206017OtherHEALTHLINK
043679294OtherTRICARE
043679294001OtherUNICARE
080191375OtherRAILROAD MEDICARE
IN100383390AMedicaid
IN194710BMedicare PIN
04367929411OtherDONLEY & CO.