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DR. MARK GRANT MEDINNUS DDS
NPI 1003065988
Dentist - General Practice in Fort Jones, CA

Active since September 16, 2008PECOS Enrolled
9024 SNIKTAW LN, FORT JONES, CA 96032(530) 468-4470 Get Directions Write a Review

NPPES record last updated: March 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Grant Medinnus Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK GRANT MEDINNUS DDS (NPI 1003065988) is an individual general practice provider in Fort Jones, California, licensed in California (33630) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003065988
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK GRANT MEDINNUSCredential: DDS
Location Address9024 SNIKTAW LNFort Jones, CA 96032-9408
Mailing AddressPo Box 302Mad River, CA 95552-4302 · (530) 467-3517
Phone(530) 468-4470
Sole ProprietorNo
Enumeration DateSeptember 16, 2008
Last NPPES UpdateMarch 19, 2016
✔ NPI 1003065988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 33630
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9024 SNIKTAW LN, Fort Jones, CA 96032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Grant Medinnus Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMA K. YOUNG FNP-C
Nurse Practitioner (Family)
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470
BRENT WEBB DDS APC
Dentist
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470
LAURIE JEAN LAQUEY MFTI
Marriage & Family Therapist
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470
QUARTZ VALLEY INDIAN RESERVATION
Family Medicine
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470
ELLEN MARY FAWL RDH
Dental Hygienist
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470
MR. GREGORY THOMAS GOODWIN PA-C
Physician Assistant (Medical)
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470
ROBIN JEWEL HASKINS CADC-CAS
Counselor (Addiction (Substance Use Disorder))
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470
KARYN ELIZABETH WILLIAMS-STANSHAW LVN
Licensed Vocational Nurse
9024 SNIKTAW LN
FORT JONES, CA 96032
Siskiyou County (530) 468-4470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Medinnus's NPI number?

The NPI number for Mark Medinnus is 1003065988. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Mark Medinnus located?

Mark Medinnus practices at 9024 Sniktaw Ln, Fort Jones, CA 96032. The listed phone number is (530) 468-4470.

What is Mark Medinnus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Medinnus enrolled in Medicare?

Yes. Mark Medinnus is registered in the Medicare PECOS enrollment system.

What insurance does Mark Medinnus accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mark Medinnus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Medinnus was last updated on March 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.