DR. MARK ANTHONY WENDOLOWSKI MD
NPI 1396206371
Family Medicine in Jackson, TN
About Dr. Mark Anthony Wendolowski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK ANTHONY WENDOLOWSKI MD (NPI 1396206371) is an individual family medicine provider in Jackson, Tennessee, licensed in Alabama (41411) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mark Anthony Wendolowski Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mark Wendolowski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, TN 38301
- Reassigned Medicare billing, Tennessee enrollment
- 146 clinicians in this Medicare group
Athens, AL 35611
- Reassigned Medicare billing, Alabama enrollment
- 31 clinicians in this Medicare group
Huntsville, AL 35801
- Reassigned Medicare billing, Alabama enrollment
- 93 clinicians in this Medicare group
Huntsville, AL 35801
- Reassigned Medicare billing, Alabama enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JACKSON, TN 38301
JACKSON, TN 38301
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 Wendolowski's NPI number?
The NPI number for Mark Wendolowski is 1396206371. It was assigned to this individual provider in the NPPES registry on March 30, 2019.
Where is Mark Wendolowski located?
Mark Wendolowski practices at 294 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 423-1931.
What is Mark Wendolowski's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Wendolowski enrolled in Medicare?
Yes. Mark Wendolowski 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.
Which organizations bill Medicare for Mark Wendolowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wendolowski reassigns Medicare benefits to 4 organizations: Emergency Medical Care Facilities PC (Jackson, TN), Athens-Limestone ER Physicians (Athens, AL), Crestwood Hb Medical Services LLC (Huntsville, AL) and Hh Crestwood ER Physicians Group (Huntsville, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Wendolowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Wendolowski accept?
Health plans from Blue Cross and Blue Shield of Alabama list Mark Wendolowski 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 Wendolowski was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mark Anthony Wendolowski, MD · NPI 1396206371
Family Medicine physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since March 30, 2019.
## Identity
- **NPI:** 1396206371 (Entity type: Individual)
- **Enumerated:** March 30, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 41411 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 294 SUMMAR DR, Jackson, TN 38301-3915
- **Phone:** (731) 423-1931
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Medical Care Facilities PC (NPI 1538345855, Jackson, TN); Athens-Limestone ER Physicians (NPI 1528314119, Athens, AL); Crestwood Hb Medical Services LLC (NPI 1548940497, Huntsville, AL); Hh Crestwood ER Physicians Group (NPI 1811842826, Huntsville, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396206371) · Data from the CMS NPPES public registry.