DR. MARK DOUBLE D.O.
NPI 1669403903
Anesthesiology in Jackson, MI
NPI Status: Active since July 05, 2006
Contact Information
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 788-4963
Fax: (517) 789-5903
- Individual
- Male
- Years of Experience 34
- Anesthesiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARK DOUBLE
This page provides the complete NPI Profile along with additional information for Mark Double, an anesthesiologist established in Jackson, Michigan with a medical specialization in Anesthesiology and more than 34 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1669403903 assigned on July 2006. The practitioner's primary taxonomy code is 207L00000X with license number 51-01-011675 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1669403903
- Provider Name
- DR. MARK DOUBLE D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 205 N EAST AVE JACKSON, MI 49201
- Location Phone
- (517) 788-4963
- Location Fax
- (517) 789-5903
- Mailing Address
- 205 N EAST AVE JACKSON, MI 49201
- Mailing Phone
- (517) 788-4963
- Mailing Fax
- (517) 789-5903
- Medical School Name
- MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An anesthesiologist like Mark Double manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 51-01-011675
- License State
- MI
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Bronze - Trinity Health East Network - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Southeast Michigan Network - HMO
- MyPriority Standard Gold Trinity Health East Network - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Southeast Michigan Network - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Standard Silver - Trinity Health East Network - HMO
- MyPriority Value Bronze - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
C86047-034 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
4586940 | MEDICAID (05) | MI | |
G33382 | MEDICARE UPIN (02) | MI |
Medicare Participation & PECOS Enrollment Status
Mark Double is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mark Double is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1052304284
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040405001180
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for exam of colon using an endoscope
Anesthesia for other closed procedure on chest
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
Anesthesia for other procedure on large bowel using an endoscope
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope
Anesthesia for procedure on small and large bowel using an endoscope
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
This service was performed 135 times for 135 patientsAnesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
This service was performed 21 times for 20 patientsThis procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
This service was performed 237 times for 229 patientsAnesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
This service was performed 530 times for 527 patientsThis procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.
This service was performed 24 times for 24 patientsAnesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
This service was performed 89 times for 88 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Double is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
TRINITY HEALTH ANN ARBOR HOSPITAL | 5301 E HURON RIVER DR ANN ARBOR, MI 48106 | (734) 712-3456 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 6 | 9 | 4 | 0 | 3 | 9 | 0 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 12 | 9 | 8 | 0 | 6 | 9 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 2 + 9 + 8 + 0 + 6 + 9 + 0 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1669403903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DEEPA S MACHA MD
Emergency Medicine
205 N EAST AVE
JACKSON, MI
ZIP 49201
WALTER A. WITHERSPOON CRNA
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI
ZIP 49201
JOHN STEVEN MOGERMAN MD
Psychiatry & Neurology
(Psychiatry)
205 N EAST AVE
JACKSON, MI
ZIP 49201
DAVID ERIK REMMLER MD
Emergency Medicine
205 N EAST AVE
JACKSON, MI
ZIP 49201
JAMES BROWN CHAUNCEY III MD
Internal Medicine
(Pulmonary Disease)
205 N EAST AVE
JACKSON, MI
ZIP 49201
TERRANCE WAYNE MACGREGOR MD
Emergency Medicine
205 N EAST AVE
JACKSON, MI
ZIP 49201
DAVID FARHAT MD
Emergency Medicine
205 N EAST AVE
JACKSON, MI
ZIP 49201
GREGORY WILLIAM BAUMANN MD
Emergency Medicine
205 N EAST AVE
JACKSON, MI
ZIP 49201
RAVI SINGH KIRBAT MD
Psychiatry & Neurology
(Psychiatry)
205 N EAST AVE
JACKSON, MI
ZIP 49201
RICHARD J ENTER PHD
Psychologist
205 N EAST AVE
JACKSON, MI
ZIP 49201
SAMY YOUSEF WASSEF MD
Psychiatry & Neurology
(Psychiatry)
205 N EAST AVE
JACKSON, MI
ZIP 49201
LEE ANNE GREEN SNYDER PHD
Psychologist
205 N EAST AVE
JACKSON, MI
ZIP 49201
GEOFFERY LYLE STEVENS CSW
Social Worker
205 N EAST AVE
JACKSON, MI
ZIP 49201
JOSE TAD-Y EDURESE MD
Internal Medicine
205 N EAST AVE
JACKSON, MI
ZIP 49201
KRISTIN ANN DRAFFEN CSW
Social Worker
205 N EAST AVE
JACKSON, MI
ZIP 49201
NADINE LYN ZINN NP
Nurse Practitioner
205 N EAST AVE
JACKSON, MI
ZIP 49201
DAVID R WALKER PA
Physician Assistant
205 N EAST AVE
JACKSON, MI
ZIP 49201
KENNETH MICHAEL GORNEY MSW
Physician Assistant
205 N EAST AVE
JACKSON, MI
ZIP 49201
LONNA KAY OTIS-PEPPER NP
Nurse Practitioner
205 N EAST AVE
JACKSON, MI
ZIP 49201
HOLLY JO PAUL NP
Nurse Practitioner
205 N EAST AVE
JACKSON, MI
ZIP 49201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669403903, enumerated as an "individual" on July 05, 2006.
The provider is located at 205 N EAST AVE JACKSON, MI 49201 and the phone number is (517) 788-4963.
Anesthesiology with taxonomy code 207L00000X.
The provider might be accepting Accepts: Molina Healthcare, Priority Health, Medicare and. Please consult your insurance carrier or call the provider to verify.
Mark Double is affiliated with: TRINITY HEALTH ANN ARBOR HOSPITAL.