MR. MARK RAYMOND PERREAULT PA-C
NPI 1356749451
Physician Assistant - Surgical in San Diego, CA
About Mr. Mark Raymond Perreault Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK RAYMOND PERREAULT PA-C (NPI 1356749451) is an individual surgical provider in San Diego, California, licensed in California (PA57736) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mark Raymond Perreault Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Perreault's NPI number?
The NPI number for Mark Perreault is 1356749451. It was assigned to this individual provider in the NPPES registry on December 5, 2014.
Where is Mark Perreault located?
Mark Perreault practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Mark Perreault's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Mark Perreault enrolled in Medicare?
Yes. Mark Perreault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Mark Perreault was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Mark Raymond Perreault, PA-C · NPI 1356749451
Surgical physician in San Diego, California. Individual provider, active in the CMS NPPES registry since December 5, 2014.
## Identity
- **NPI:** 1356749451 (Entity type: Individual)
- **Enumerated:** December 5, 2014
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA57736 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (800) 926-8273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356749451) · Data from the CMS NPPES public registry.